Are you authorized to work in the US without a sponsor visa?
Yes
No
Is there any reason known to you why you might be unable to perform any of the job duties of the position for which you are applying in a safe, consistent, prompt, and satisfactory manner with reasonable accommodations?
Yes
No
Will you be able to provide proof of your eligibility for employment in the United States?
Yes
No
Have you ever been convicted of, plead guilty or no contest to, or received probation or deferred adjudication for a felony or misdemeanor, or are you presently under indictment? (A positive response to this question does not necessarily disqualify you from employment, but untruthful response does.)
Yes
No
What is your preferred employment type?
Full Time
Part Time
Temporary
Are you available for overtime?
Yes
No
Have you previously been interviewed by Bart's Electric? If so, please provide position and dates.
Have you previously worked for Bart's Electric? If so, please provide position and dates.
Are there limitations on the hours, days, or time you are available to work, including weekends?
Yes
No
If yes, please list the limitations. If no, enter NA.
OTHER SKILLS AND SPECIAL TRAINING: (Summarize any job-related training, skills, licenses, certificates, and/or other qualifications.)
U.S Military Experience (if none, put N/A).
Please include Branch of Service, Date Entered, Date of Discharge, Present or Last Rank or Rating, Reserve Status, and Civilian Related Experience & Training:
Were you referred to Bart's Electric? If no, enter NA. If yes, please list who referred you.
Do you have your OSHA 10 Certification?
Yes
No
Can you perform the following functions: Sit for extended periods of time, lift up to 15 lbs.?
Yes
No
List all of the Modeling/Drafting Software you are proficient in.
Do you have an Electrical Journeyman's License
Yes
No
How many years of Electrical experience in Commercial/Industrial work do you have?
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal, and I agree to hold my employer harmless in the event of my dismissal based thereon.
I authorize investigation of all statements contained herein and to do background checks to give you and all information concerning my previous employment and any pertinent information they may have, confidential or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
I realize that under certain legal provisions, pre-employment drug testing could be a condition of my employment. I also acknowledge that the employer may require drug testing at a subsequent time providing that proper advance notice of testing is provided.
I also recognize that I could be offered employment subject to appropriate medical examination and that such a report could nullify my ultimate employment by this employer. I agree to submit to physical examination if required.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the method of payment of my wages and salary, be terminated at any time without prior notice. If employment is obtained under this application, I will comply with all the rules and policies of my employer."
AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
This employer does not discriminate in hiring or employment on the basis of age, race, color, sex, religion, national origin, disability, military or veteran status
I understand and accept the