Application for Employment | Rob Stubbins Electrical & General Contractor

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Personal Information

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Are You 18 Years or Older?*

Yes
No

Are You Prevented from Lawfully Becoming Employed in This Country Because of Visa or Immigration Status?*

Yes
No

Employment Desired

Position*

Date You Can Start

Salary Desired

Are You Employed Now?

Yes
No

May We Inquire of Your Present Employer?*

Yes
No. Not yet.

Ever Applied to This Company Before?

Yes
No

When?

How did you hear about careers at Rob Stubbins Electrical?

Education

Grammar School

High School

Number of Years Attended

Did You Graduate?

Yes
No

College

Number of Years Attended

Did You Graduate?

Yes
No

Subjects Studied

Trade, Business or Correspondence School

Number of Years Attended

Did You Graduate?

Yes
No

Subjects Studied

General

Subjects of Special Study or Research Work

Special Skills

Activities: (Civic, Athletic, Etc.)

Exclude Organizations, The Name of Which Indicates the Race, Creed, Sex, Age, Marital Status, Color or Nation of Origin of Its Members.

U.S. Military or Naval Service

Include Rank or Present Membership in National Guard or Reserves

Former Employers

List Below Last Three Employers, Starting With Last One First.

Current or Most Recent Employer

Employer Name*

Address

City State

Position

From

To

Salary

Reason for Leaving

Employer 2

Employer Name

Address

City State

Position

From

To

Salary

Reason for Leaving

Employer 3

Employer Name

Address

City State

Position

From

To

Salary

Reason for Leaving

References

Give the Names of Three Persons Not Related To You, Whom You Have Known At Least One Year

Name

Address

City State / Province / Region Country

Business

Years Acquainted

Name

Address

City State / Province / Region Country

Business

Years Acquainted

Name

Address

City State / Province / Region Country

Business

Years Acquainted

In Case of Emergency Notify

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."

Date

Enter Your Name as Your Electronic Signature*

Name*

First Last

Phone

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