1Your Info

2Step #1

3Step #2

4Step #3

Position Applying For:

Date of Application:

Please state that you acknowledge Swartz Electric is a drug-free employer (this includes marijuana) *

Swartz Electric is a federal contractor that falls under both Federal and DOT regulations and is a drug free workplace. Illegal drugs and marijuana in any form are not allowed.

Tell Us About Yourself:

Name: *

First

Middle

Last

Email: *

Home Phone:

Cell Phone: *

How did you find out about this position?

Current Employee
Career Fair
Newspaper Ad
Radio/TV AD
Search Engine
Social Media
Craigslist
Other

Please Describe Other:

Please Give Current Employee Name:

Employment Information

Are you authorized to work in the US? *

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Current Employer: (if any)

Date Available To Start:

Years of Work Experience directly relate to the position you are applying for:

Education

HIGH SCHOOL

Name Of High School:

Location:

Years Attended:

COLLEGE / UNIVERSITY

Name Of College / University:

Location:

Years Attended:

Major / Degree:

BUSINESS / TRADE SCHOOL

Name Of Business / Trade School:

Location:

Years Attended:

Major / Degree:

Please list any additional education that is applicable to the position applying for:

Certifications and Licenses

What Certifications and Licenses do you have? (Select all that apply)

Registered Apprentice
Residential Wireman
Journeyman Electrician
Master Electrician

Include State and License Numbers for any licenses selected above

Other Licenses and Certifications held

Criminal History

Have you ever been convicted of a felony?

If yes, please explain

Drivers License Information

Do you have a valid driver's license?

Do you have reliable transportation to work?

YES
NO
OTHER

If other, please explain transportation

Do you have a clean driving record?

List any moving violations and/or accident from the last 3 years:

Work Experience

COMPANY #1

Company Name:

Company Address:

Phone:

Job Title:

Name of Last Supervisor:

Employment Start Date:

Employment End Date:

Starting Compensation:

Ending Compensation:

May we contact this employer?

Specific reason for leaving:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company:

COMPANY #2

Company Name:

Company Address:

Phone:

Job Title:

Name of Last Supervisor:

Employment Start Date:

Employment End Date:

Starting Compensation:

Ending Compensation:

May we contact this employer?

Specific reason for leaving:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company:

COMPANY #3

Company Name:

Company Address:

Phone:

Job Title:

Name of Last Supervisor:

Employment Start Date:

Employment End Date:

Starting Compensation:

Ending Compensation:

May we contact this employer?

Specific reason for leaving:

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company:

References

Please list 3 people you have worked with who can attest to your on the job experience and performance.

REFERENCE #1

Name:

First

Last

Phone:

Company:

REFERENCE #2

Name

First

Last

Phone:

Company:

REFERENCE #3

Name

First

Last

Phone:

Company:

Resume

Upload your resume (Max File Size 30MB)

Click or drag a file to this area to upload.

Upload a cover letter (Max File Size 30MB)

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Please attach any additional documents here: (Max File Size 30MB)

Click or drag files to this area to upload. You can upload up to 5 files.

Use this space to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Agreement (Please read carefully before signing)

I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Swartz Electric creates an actual or implied contract of employment. I understand that, if I accept employment with Swartz Electric, it will be on an at-will basis. This means that either Swartz Electric or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.

I agree to submit to drug and alcohol testing when requested by Swartz Electric. I release Swartz Electric, its employees, plus other persons or companies from any and all liability related such testing

Print Name: *

Date: *

Name *

First

Last

Email: *

Phone: *

Service Type: *

Tell Us About Your Electrical Need: *

Your name

Your email

Subject

Your message (optional)

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Employment Information

Education

Certifications and Licenses

Criminal History

Drivers License Information

Work Experience

References

Resume

Agreement (Please read carefully before signing)

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