Employment Application Submit Your Job Application Online! EMPLOYMENT APPLICATION JDI Electric, Inc. provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any person on the basis of race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. JDI Electric, Inc. provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any person on the basis of race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. Position Applying For: * (Select One)Warehouse & DeliveriesApprenticeJourneymanForemanEstimatorProject Manager PERSONAL INFORMATION Personal Information 1. First Name * Middle Name (or initial) Last Name * 2. Address (Street) * City * State * Zip Code * 3. Phone Number * 4. Email Address GENERAL INFORMATION General Information Are you legally eligible for work in the U.S.A.? * Yes No Have you ever applied to or worked for JDI Electric before? * Yes No Are any of your relatives currently working for JDI Electric? * Yes No EMPLOYMENT REQUEST Employment Request Minimum Salary Requested: * If applicable, are you available for overtime? * Yes No What is the earliest date you can begin work? * How did you hear about this position? Recruiter Internet Job Posting Company Website Other EMPLOYMENT HISTORY Employment History May we contact your current employer? * Yes No Not Applicable Most recent employment: 1. Employer: Supervisor: Phone Number: Address (Street): City: State: Zip Code: Start of Employment: End of Employment: Starting Pay or Salary: Ending Pay or Salary: Position Duties: Reason for Leaving: Previous employment: 2. Employer: Supervisor: Phone Number: Address (Street): City: State: Zip Code: Start of Employment: End of Employment: Starting Pay or Salary: Ending Pay or Salary: Position Duties: Reason for Leaving: Previous employment: 3. Employer: Supervisor: Phone Number: Address (Street): City: State: Zip Code: Start of Employment: End of Employment: Starting Pay or Salary: Ending Pay or Salary: Position Duties: Reason for Leaving: EDUCATION Education School Name: Location: Course of Study: Degree Obtained: School #2: Name #2: Location #2: Course of Study #2: Degree Obtained #2: School #3: Name #3: Location #3: Course of Study #3: Degree Obtained #3: School #4 Name #4: Location #4: Course of Study #4: Degree Obtained #4: MILITARY Military Military Service: * Yes No Branch: Specialized Training: REFERENCES References Name: * Company: * Title: * Contact Information: Name #2: Company #2: Title #2: Contact Information #2: Name #3: Company #3: Title #3: Contact Information #3: Submit Δ
