City State Zip Evening Phone
Do You Have a Current Electrical License No Yes Do You Have a Current Drivers License No Yes
Type of Electrical License None Apprentice Journeyman Master Do You Have Reliable Transportation No Yes
Are You Willing and Able to Travel No Yes Other Explain if Other
What Type of Position are You Interested In Apprentice Journeyman Construction Service Data Admin/Office Warehouse/General
Current or Last Employer Are You Still Employed Here No Yes
Length of Employment 0-6 Months 6 Months-1 Year 1-2 Years 2-3 Years 3-5 Years 5-10 Years 10 + Years Are You Eligable for Re-Hire No Yes
Duties - Responsibilities
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