Palmetto Residential

Electric, LLC

EMPLOYMENT APPLICATION

[Palmetto Residential Electric, LLC], (the “Company”) is an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to age, race, color, sex, religion, nation origin, marital status, ancestry, citizenship, veteran status, sexual orientation or preference, or physical or mental ability.

PERSONAL
Last Name:Invalid Input First:Invalid Input Initial:Invalid Input
Other Name(s) Used: Home Telephone #:

Address:

Business or Message #:

Position Applied For:

Referred By:

Salary Desired:
Have you ever interviewed with the Company or its affiliates before?

If yes, date(s):


Job Title:
location(s) :
Have you ever been employed by the Company or its affiliates before?

If yes, date(s):


Job Title:
location(s):
Do you have any relatives employed by the Company or its affiliates: If yes, list date(s):
Job Title:
location(s):
Are you at least 18 years old? If under 18, do you have a work permit?


EDUCATION

Circle highest grade completed:

High School

College, Trade, or Business

Graduate Studies:

School

Name

Address

Major Studies

Degree, Diploma, License, or Certificate

High School

College/University

Vocational, Business,

Other

List any professional designations:

Other special knowledge, skills, or qualifications:

For Clerical Applicants Only:

Do you type? If Yes, WPM:

Computer Skills (Hardware/Software):


EMPLOYMENT HISTORY
List all employment for the past ten (10) years, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information.

Employed From:

Employer Name:

Supervisor Name:

Starting Salary:

Employed Until:

Employer Address:

Supervisor Phone#:

Ending Salary:

Job Title:

Reason For Leaving:

Duties & Responsibilities:



Employed From:

Employer Name:

Supervisor Name:

Starting Salary:

Employed Until:

Employer Address:

Supervisor Phone#:

Ending Salary:

Job Title:

Reason For Leaving:

Duties & Responsibilities:



Employed From:

Employer Name:

Supervisor Name:

Starting Salary:

Employed Until:

Employer Address:

Supervisor Phone#:

Ending Salary:

Job Title:

Reason For Leaving:

Duties & Responsibilities:



Employed From:

Employer Name:

Supervisor Name:

Starting Salary:

Employed Until:

Employer Address:

Supervisor Phone#:

Ending Salary:

Job Title:

Reason For Leaving:

Duties & Responsibilities:



GENERAL
May we contact your current employer for references?
If hired, will you be able to work overtime?
Will you be able to perform the essential job functions for the position you are applying for with or without reasonable accommodation?
Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged, or sealed by court? (A YES does not automatically disqualify your application)


CERTIFICATION & AUTHORIZATION

The above information is true and correct. I understand that, in the event of my employment by the Company, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery.

I authorize the Company to inquire into my educational, professional, and past employment history referenced as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize the Company to obtain any credit and consumer check.

I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company under which my employment could be terminated only for cause. On the contrary, I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me or the Company at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing.

If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.

I hereby acknowledge that I have read and agree to the above statements.
Signature Date




1. What location are you applying for:

2.What size wire is pulled to a 50 AMP range?

3. What size breaker is put on a 12/2?

4. What is the maximum distance between 2 receptacles in a bedroom?

5. What size service cable is pulled on a 200 AMP service??

6. What is the maximum distance between 2 kitchen countertop receptacles?

7. hat type of wire is pulled to a ceiling fan/light prewire?

8. What size wire is pulled to a dryer?