Hickman Electric, Inc. Application For Employment

We are an equal opportunity employer. We comply with all applical Federal, State and Local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law or will any information obtained in response to any question be used in vilation of any such law.

Position(s) applied for:
Date of Application:
m/d/yyyy
Name:
Street Address:
City:
State:
Zip:
Phone:
Mobile/Beeper/Other Phone:
Social Security Number:
Have you ever been employed here before?
Yes No
Date available for work:
m/d/yyyy
Are you able to meet the attendance requirements for the position?
Yes No
Have you been convicted of a crime in the last 7 years?
Yes No
If yes, please explain
Driver's license number if driving is an essential job function:
State
Work Experience
List present and former employers beginning with the most recent
FROM
TO
EMPLOYER
PHONE
JOB TITLE
ADDRESS
IMMEDIATE SUPERVISOR & TITLE


SUMMARIZE THE NATURE OF WORK PERFORMED
AND JOB RESPONSIBLITIES
REASON FOR LEAVING
HOURLY RATE/SALARY
Please specify per hour, per week, per month or per year

FROM
TO
EMPLOYER
PHONE
JOB TITLE
ADDRESS
IMMEDIATE SUPERVISOR & TITLE


SUMMARIZE THE NATURE OF WORK PERFORMED
AND JOB RESPONSIBLITIES
REASON FOR LEAVING
HOURLY RATE/SALARY
Please specify per hour, per week, per month or per year

FROM
TO
EMPLOYER
PHONE
JOB TITLE
ADDRESS
IMMEDIATE SUPERVISOR & TITLE


SUMMARIZE THE NATURE OF WORK PERFORMED
AND JOB RESPONSIBLITIES
REASON FOR LEAVING
HOURLY RATE/SALARY
Please specify per hour, per week, per month or per year

FROM
TO
EMPLOYER
PHONE
JOB TITLE
ADDRESS
IMMEDIATE SUPERVISOR & TITLE


SUMMARIZE THE NATURE OF WORK PERFORMED
AND JOB RESPONSIBLITIES
REASON FOR LEAVING
HOURLY RATE/SALARY
Please specify per hour, per week, per month or per year
Skills and Qualifications
Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying
Record of Education (IF JOB RELATED)
HIGH SCHOOL
YEARS COMPLETED
DID YOU GRADUATE?
COURSE OF STUDY

COLLEGE
YEARS COMPLETED
DID YOU GRADUATE?
COURSE OF STUDY

OTHER
YEARS COMPLETED
DID YOU GRADUATE?
COURSE OF STUDY
Personal References (NOT FORMER EMPLOYERS OR RELATIVES)
NAME
PHONE
YEARS KNOWN

NAME
PHONE
YEARS KNOWN

NAME
PHONE
YEARS KNOWN
Upload Resume