Employment Info

Are you a citizen of the United States or authorized to work in the United States?

EMPLOYMENT HISTORY

List the last 5 years experience in the electirical trade. (Enter Last Job First)

Employer 1

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Employer 2

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Employer 3

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MILITARY SERVICE

EDUCATION

REFERENCES

Please list three professional references.

Reference 1

Reference 2

Reference 3

DISCLAIMER AND SIGNATURE

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, any omissions or misrepresentations of any information provided or requested will be grounds for withdrawal of my application from further consideration for employment, or termination of my employment if the omission or misrepresentation is discovered after hire.

I authorize Hargrove Electric Co., Inc. to investigate all statements contained herein and the references listed above to give either any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to Hargrove Electric Co., Inc..

I understand and agree that, if hired, I will be an at-will employee. That means my employment is for no definite period and may, regardless of the date of payment of my wages and/or salary, be terminated at any time without any prior notice. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disability Act (ADA) and other relevant federal and state laws. I understand that part of the application process may include submitting to a drug test to determine the use of illegal drugs.

I understand that positive findings will result in immediate disqualification and the removal of my name for consideration for the position for which I am applying. I hereby agree to submit to such tests and release the results. I understand that I will be required to provide approved documentation that verifies my right to work in the United States upon employment. I hereby acknowledge that I have read and understand the above statements. Electronic submittal of this application shall require no signature.

NOTE: Applications are valid for [90] [45] days after being submitted. After [90] [45] days, you should re-apply if you are interested in obtaining employment with Hargrove Electric Co.