Employment Questionnaire

01About you

Name

Date

Phone Number

When can you start?

Position applying for

Pay rate requested

02Quick questions

Have you ever been employed by AEC Electric?

Do you have transportation?

Are you 18 or over?

Do you have your own electrical tools including cordless drill & benders up to 1 inch?

Do you have your OSHA 10?

AEC Electric is a drug-free company with testing requirements. Please enter your initials if you are willing to undergo drug testing at our request.

Initials

03Experience

Please give us a detailed list of the trade skills you have

Please list any secondary education you have related to the electrical trade

04Background

Have you ever been convicted of a crime?

05Last three employers

List your last three employers. Include a contact person and phone number, pay wage and reason for leaving.

Employer 1

Employer

Employment dates

Contact name

Contact phone

Wage

Reason for leaving

Employer 2

Employer

Employment dates

Contact name

Contact phone

Wage

Reason for leaving

Employer 3

Employer

Employment dates

Contact name

Contact phone

Wage

Reason for leaving

06References

List two personal references we can contact

Reference name 1

Phone 1

Reference name 2

Phone 2

07Anything else

Any other information about yourself you think is pertinent to this position