First Name *

Last Name *

Phone *

Email *

Address *

Street Address *

City *

State *

Country

Enter your country

Postal Code *

Date Available *

Position Applied For *

Choose one Option

Are you legally authorized to work in the United States? *

Yes

No

Have you previously worked for Salmon Electrical Contractors? *

Yes

No

EDUCATION

HIGH SCHOOL

High School Name *

High School Address *

High School Start Date *

High School End Date *

Did You Graduate High School? *

Yes

No

High School Diploma or Degree *

COLLEGE

College Name

College Address

College Start Date

College End Date

Did You Graduate College?

Yes

No

College Diploma or Degree

TRADE SCHOOL OR TRAINING PROGRAM

Trade School or Training Program Name *

Trade School or Training Program Address *

Trade School or Training Program Start Date *

Trade School or Training Program End Date *

Did You Graduate Trade School or Training Program? *

Yes

No

Trade School or Training Program Diploma, Degree or Certificate *

PROFESSIONAL REFERENCES

Please provide three professional references who are not relatives.

REFERENCE 1

Reference 1 - Full Name *

Reference 1 - Relationship *

Reference 1 - Company *

Reference 1 - Phone *

Reference 1 - Address *

REFERENCE 2

Reference 2 - Full Name

Reference 2 - Relationship *

Reference 2 - Company *

Reference 2 - Phone *

Reference 2 - Address *

REFERENCE 3

Reference 3 - Full Name *

Reference 3 - Relationship *

Reference 3 - Company *

Reference 3 - Phone *

Reference 3 - Address *

PREVIOUS EMPLOYMENT

List your three most recent employers, beginning with the most recent.

EMPLOYER 1

Employer 1 - Company Name *

Employer 1 - Phone *

Employer 1 - Address *

Employer 1 - Supervisor *

Employer 1 - Job Title *

Employer 1 - Responsibilities *

Employer 1 - Start Date *

Employer 1 - End Date *

Employer 1 - Reason for Leaving *

May We Contact Employer 1?

Yes

No

EMPLOYER 2

Employer 2 - Company Name

Employer 2 - Phone

Employer 2 - Address

Employer 2 - Supervisor

Employer 2 - Job Title

Employer 2 - Responsibilities

Employer 2 - Start Date

Employer 2 - End Date

Employer 2 - Reason for Leaving

Employer 2 - May we Contact Employer 2?

Yes

No

EMPLOYER 3

Employer 3 - Company Name

Employer 3 - Phone

Employer 3 - Address

Employer 3 - Supervisor

Employer 3 - Job Title

Employer 3 - Responsibilities

Employer 3 - Start Date

Employer 3 - End Date

Employer 3 - Reason for Leaving

Employer 3 - May we Contact Employer 3?

Yes

No

MILITARY SERVICE

Military Branch

Military Start Date

Military End Date

Rank at Discharge

Type of Discharge

If Other Than Honorable, Please Explain

Resume, License, or Certifications

Click to upload

CERTIFICATION AND SIGNATURE

I certify that the information provided in this application is true and complete to the best of my knowledge. I authorize Salmon Electrical Contractors to verify the information provided and contact the references and employers listed. I understand that false or misleading information may result in disqualification from employment or termination if hired.

Applicant Signature *

Signature Date *