Full Name
Address
Contact Info
What position are you applying for?
Choose the position*
Do you want full or part time work?
Choose One*
Work Availability
How many hours per week can you work?
Can you work nights?
What is your desired salary?
$
When can you start?
Will you give your employer a notice?
How much notice will you give?
How did you hear about us?
Have you ever worked for or applied with Prolectric?
High School Information
Did you graduate high school?
How many years of school did you attend?
Did you attend a college or trade school?
School Information
Have you ever been convicted of a crime?
Please explain number and date of convictions, nature of offense, sentenced imposed and type of rehabilitation.
Do you have a valid drivers license?
What is your drivers license number?
What is the state of issue?
What is the expiration date?
Do you have reliable transportation?
What is your means of transportation?
Have you had any accidents in the last 3 years?
How many accidents?
Have you had any moving violations in the last 3 years?
How many moving violations?
Are you a tobacco smoker?
Are you willing to submit to a drug and alcohol screening?
Are you willing to submit to a criminal background check?
Have you ever served in the Armed Forces?
Dates Served
Are you currently a member of the national guard or reserve?
List any specialty or relevant training you've received
List Two References
First Reference
Second Reference
Are you currently employed?
Current Employer Information
Current Employer Pay
Current Employer Other Info
May we contact your current employer?
What's the best number to call?
Do you have a previous employer?
Previous Employer Information
Previous Employer Pay
Previous Employer Other Info
May we contact your previous employer?
What's the best number to call?
Are you applying for an administrative position?
Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery.
Bend and Install EMT Pipe*
Bend and Install Rigid & IMC*
Bend and Install PVC Pipe*
NEC Code Commercial*
NEC Code Residential*
Local Codes and Electrical Ordinances*
Install or Make Terminations in Panel*
Fiber Optic Cabling and Terminations*
Troubleshoot Wiring Problems*
Disconnects*
Transformers*
Contactors*
Industrial Systems*
Controls*
PLC's*
Drawings*
CAT6/LV Cabling and Terminations*
UG Piping Cabling*
Blueprints*
Crew Leader*
Foreman*
Superintendent*
Project Manager*
Estimating Large Jobs*
Heavy Equipment*
Data Network Maintenance Repair*
Computer Network Installation*
Summarize your abilities and background and why you feel you would be a good fit for us.
Sign and Date