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Complete the form below:

All Star Electric Application

"*" indicates required fields

I understand this application will be active for a period of ten (10) days; after that time, if I wish to be considered for employment, I must submit a new application. I understand that failure to answer any question contained in this employment application will result in disqualification of my employment application and consideration tor employment. Applicants are considered only for the position applied.

All Star Electric, Inc. provides reasonable accommodation to the known disabilities of applicants and employees, unless doing so would pose an undue hardship. Please feel free to let us know if you need an accommodation to complete the application process.

All qualified applicants will receive consideration for employment without regard to race, color religion, creed, gender, national origin, age. disability, marital or veteran status, or any other legally protected status. We offer equal employment opportunity and treatment to all employees and qualified applicants.

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REFERRAL SOURCE

Source*

Walk-In

Employment Agency

Trade or Technical School

Employed

Other

Specify Employment*

Specify Other*

EMPLOYMENT DESIRED

Position Applied for:*

Expected Rate of Pay $:*

On what date would you be available for work:*

Are you available to work:*

Full Time

Part-Time

Shift Work

Temporary

On-Call

What days are you available?*

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Are you lay-off and subject to recall*

Yes

Have you applied with this company before?*

Yes

If yes give date

MM slash DD slash YYYY

Have you ever been employed here before?*

Yes

If yes give date

MM slash DD slash YYYY

PERSONAL INFORMATION

Name*

First Last

Email*

Phone*

Present Address*

Street Address Address Line 2 City State ZIP Code

Permanent Address (if different from above)

Street Address Address Line 2 City State ZIP Code

Are you employed now?*

Yes

If yes, may we contact your present employer?*

Yes

Are you 18 years of age or older?*

Yes

Can you travel if a job requires it?*

Yes

If yes, can you also travel outside of the state if required?*

Yes

GENERAL

Do you have a valid drivers' license?*

Yes

If so, in what state?

May we contact the Drivers’ License Division?*

Yes

Education

High School

Name & Location

No. Years Attending

Graduate?

Subjects

College

Name & Location

No. Years Attending

Graduate?

Subjects

Trade or Business

Name & Location

No. Years Attending

Graduate?

Subjects

FORMER EMPLOYERS

List your last four employers, starting with the last one first

Former Employer 1*

Dates (month/year)

Name and Address

Name of Supervisor

Salary (Start & Final)

Position

Reason for Leaving

Former Employer 2

Dates (month/year)

Name and Address

Name of Supervisor

Salary (Start & Final)

Position

Reason for Leaving

Former Employer 3

Dates (month/year)

Name and Address

Name of Supervisor

Salary (Start & Final)

Position

Reason for Leaving

Former Employer 4

Dates (month/year)

Name and Address

Name of Supervisor

Salary (Start & Final)

Position

Reason for Leaving

Have you ever been discharged from a job?*

Yes

If yes, please explain why:*

MILITARY SERVICE

Have you ever served in the United States military?*

Yes

If yes, were you honorably discharged?*

Yes

Date of Discharge:*

Indicate branch of military service and dates serviced if applicable:

Active-Duty Branch

From - To

Highest Rank Achieved

Reserve Status

Reserve Branch

REFERENCES

Give the name of three persons not related to you whom you have known for at least one year

Reference 1*

Name

Address

Relationship

Years Acquainted

Reference 2*

Name

Address

Relationship

Years Acquainted

Reference 3*

Name

Address

Relationship

Years Acquainted

EMERGENCY NOTIFICATION

ln case of Emergency Notify:

Emergency Contact Name*

First Last

Emergency Contact Phone*

Emergency Contact Address*

Street Address Address Line 2 City State ZIP Code

APPLICANTS STATEMENT

I certify that the information in the application is true and understand that misrepresentation, or false or omitted facts may result in my termination, regardless of the time of discovery by the company.

I understand, that if hired, my employment is for no definite period and may be terminated at any time with or without notice and that, absent a written contract signed by the President of the company, I will remain an at-will employee and can be terminated for any reason or no reason at All

I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity, failure to submit such proof will result in denial of employment.

I authorize the Company to supply my employment record, in its sole discretion, in whole or part, to any prospective employer, government agency, or other party, with an interest that the Company deems appropriate.

I understand that I am required to abide by all rules and regulations of the Company, I acknowledge that these policies and procedures, and any benefits or other terms and conditions of my employment, may be changed, interrupted, withdrawn or added to by the Company at any time without prior notice to me.

I authorize any of my former employers, references or any other person, firm or corporation who may have any information about me to release such information to Chailland, Inc, or All-Star Electric, Inc. by any means of communication, and I release such persons, firms or corporations from any liability for releasing the information I have hereby authorized. This release extends to any criminal information or information regarding my credit worthiness. I understand that I may receive a copy of any reports generated by any information bureau upon my request for same in writing as required by law.

Agreement*

I have read the above statements*

Digital Signature*

First Last

Comments

This field is for validation purposes and should be left unchanged.

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Complete the form below:

All Star Electric Application

REFERRAL SOURCE

EMPLOYMENT DESIRED

PERSONAL INFORMATION

GENERAL

Education

FORMER EMPLOYERS

MILITARY SERVICE

REFERENCES

EMERGENCY NOTIFICATION

APPLICANTS STATEMENT

MAIN OFFICE

CIVIL DIVISION

ASE Services, LLC

GULF COAST DIVISION