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Please enable JavaScript in your browser to complete this form.Personal Information - Step 1 of 16Full Name *FirstLastAddress *Address Line 1CityState*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMobile Phone *Home PhoneEmail *NextPosition Applying For *Choose the position*Electrician's HelperProject ManagerElectrician/JourneymanOffice/AdministrativeSuperintendentOtherDo you want full-time or part-time work? *Choose One*Full-TimePart-TimeFull-Time or Part-TimeWork Availability *MondayTuesdayWednesdayThursdayFridaySaturdaySundayNo PreferenceHow many hours per week can you work? *Can you work nights? *YesNoWhat is your desired salary? *When can you start? *Will you give your employer a notice? *YesNoHow much notice will you give? *PreviousNextHow did you hear about us? *FriendNewspaperRadioInternet SearchInternet Employment AdOtherHave you ever worked for or applied with ProLectric? *YesNoPreviousNextDid you graduate high school? *YesNoHigh School Name *High School Location *Did you attend a college or trade school? *YesNoName of the School *Location of the School *Number of years attended *PreviousNextHave you ever been convicted of a crime? *YesNoPlease explain number and date of convictions, nature of offense, sentenced imposed and type of rehabilitation. * mastery. = and Are you willing to submit to a criminal background check? *YesNoPreviousNextDo you have a valid drivers license? *YesNoWhat is your drivers license number? *What is the state of issue? *What is the expiration date? *Do you have reliable transportation? *YesNoWhat is your means of transportation? *PreviousNextHave you had any accidents in the last 3 years? *YesNoHow many accidents? *Have you had any moving violations in the last 3 years? *YesNoHow many moving violations? *PreviousNextAre you a tobacco smoker? *YesNoAre you willing to submit to a drug and alcohol screening? *YesNoPreviousNextHave you ever served in the Armed Forces? *YesNoDate Entered *Date Discharged *Are you currently a member of the national guard or reserve? *YesNoList any specialty or relevant training you've receivedPreviousNextReference #1Full name *Address *Phone number *Email address *PreviousNextReference #2Full name *Address *Phone number *Email address *PreviousNextAre you currently employed? *YesNoEmployer Name *Employer Address *Employer Supervisor *Starting Pay *Current Pay *Enter your job title *Enter your job Duties *May we contact your current employer? *YesNoWhat's the best number to call? *PreviousNextDo you have a previous employer? *YesNoPrevious Employer Name *Previous Employer Address *Previous Employer Supervisor *Dates of employment *Starting pay *Ending pay *Previous Employer Job Title *Previous Employer Job Duties *Previous Employer Reason For Leaving *May we contact your previous employer? *YesNoPrevious Employer Phone *PreviousNextAre you applying for an administrative position? *YesNoPlease rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery.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*12345678910Please 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 Rigid & IMC*12345678910Please 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 PVC Pipe*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *NEC Code Commercial*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *NEC Code Residential*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Local Codes and Electrical Ordinances*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Install or Make Terminations in Panel*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Fiber Optic Cabling and Terminations*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Troubleshoot Wiring Problems*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Disconnects*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Transformers*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Contactors*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Industrial Systems*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Controls*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *PLC's*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Drawings*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *CAT6/LV Cabling and Terminations*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *UG Piping Cabling*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Blueprints*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Crew Leader*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Foreman*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Superintendent*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Project Manager*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Estimating Large Jobs*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Heavy Equipment*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Data Network Maintenance Repair*12345678910Please rate yourself on a scale of 1 to 10 (1 = no experience and 10 = very skilled) based on experience and skill mastery. *Computer Network Installation*12345678910PreviousNextSummarize your abilities and background and why you feel you would be a good fit for us. *PreviousNextSignature * Clear Signature Date Signed *PreviousSubmit Application Apply Today To Join Our Team ProLectric Electrical Contractors, Inc. 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