Palmetto Residential Electric Application

Palmetto Residential Electric Employment Application

[Palmetto Residential Electric, LLC], (the “Company”) is an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to age, race, color, sex, religion, nation origin, marital status, ancestry, citizenship, veteran status, sexual orientation or preference, or physical or mental ability.
Personal
Name:*

First NameMiddle NameLast Name
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
Business or Message #

Area CodePhone Number
Position Applied For
How were you referred to us?*

Walk-InEmployeeNewspaper AdCraigslistTwitterOther
Salary Desired
Have you ever interviewed with the Company or its affiliates before?*

YesNo
If yes, Date(s)
Job Title
Location(s)
Have you ever been employed by the Company or its affiliates before?*

YesNo
If yes, Date(s)
Job Title
Location(s)
Do you have any relatives employed by the Company or its affiliates*

YesNo
If yes, Date(s)
Job Title
Location(s)
Are you at least 18 years old?*

YesNo
If you are under 18, do you have a work permit?*

YesNo
Education
Select highest grade completed:
High School

9111012
College, Trade, or Business

1324
Graduate Studies
High School
Name
Address
Major Studies
Degree, Diploma, License or Certificate
College / University
Name
Address
Major Studies
Degree, Diploma, License or Certificate
Vocational, Business, Other
Name
Address
Major Studies
Degree, Diploma, License or Certificate
List any professional designations
Other special knowledge, skills, or qualifications
For Clerical Applicants Only:
Do you type?

YesNo
If Yes, WPM
Computer Skills (Hardware/Software)
Employment History

List all employment for the past ten (10) years, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information.
Employed From
Employed Until
Employer Name
Employer Address
Supervisor Name
Supervisor Phone #
Starting Salary
Ending Salary
Job Title
Reason for Leaving
Duties & Responsibilities
Employed From
Employed Until
Employer Name
Employer Address
Supervisor Name
Supervisor Phone #
Starting Salary
Ending Salary
Job Title
Reason for Leaving
Duties & Responsibilities
Employed From
Employed Until
Employer Name
Employer Address
Supervisor Name
Supervisor Phone #
Starting Salary
Ending Salary
Job Title
Reason for Leaving
Duties & Responsibilities
General
May we contact your current employer for references?*

YesNo
If hired, will you be able to work overtime?*

YesNo
Will you be able to perform the essential job functions for the position you are applying for with or without reasonable accommodation?*

YesNo
Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged, or sealed by court? (A YES does not automatically disqualify your application)*

YesNo
CERTIFICATION & AUTHORIZATION

The above information is true and correct. I understand that, in the event of my employment by the Company, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery. I authorize the Company to inquire into my educational, professional, and past employment history referenced as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize the Company to obtain any credit and consumer check. I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company under which my employment could be terminated only for cause. On the contrary, I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me or the Company at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing. If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9. I hereby acknowledge that I have read and agree to the above statements.
1. When wiring an A/c Unit what size wire do you pull and what size breaker would you put it on if the unit was 30 a amp Minimum and a 35 amp max?
2. What happens if a wire is loose in the panel and under a load?
3. What is the difference between a snap in and bolt in breaker?
4. What size service cable is pulled on a 200 AMP service for both copper and aluminum?
5. What is the maximum distance between 2 kitchen countertop receptacles?
6. What type of wire is pulled to a ceiling fan/light prewire?
7. What do you enjoy to do on spare your time?
8. Please provide three References: Name/Title Address Phone
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 3
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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