Application for Employment | Steiner Electric, Inc.

* indicates required information

PERSONAL INFORMATION

Date of application

Email address *

Last name *

First name *

Middle name

Address *

City *

State *

Zip code *

Phone number (day) *

Phone number (evening)

Best time to contact you

Are you 18 years or older?

No Yes

Are you authorized to obtain lawful employment in this country?

No Yes

If the job desired requires the use of a motor vehicle, do you have a valid Wisconsin driver’s license?

No Yes

If the job desired requires the use of a commercial driver’s license, do you have a valid commercial driver’s license?

No Yes

Do you have any pending criminal charges against you?

No Yes

Have you ever been convicted of a crime, regardless of whether it was a felony or misdemeanor?

No Yes

If you answered yes to either criminal background inquiries above, provide the date and county of the pending charge or conviction, the type of charge or conviction, and an explanation. If the job you are applying for requires you to operate a motor vehicle, include traffic charges. (A pending charge or prior conviction will not automatically bar you from employment. These will only be given consideration if the offenses are substantially related to the particular job).

How did you learn about Steiner Electric?

EMPLOYMENT DESIRED

Position(s) *

Date you can start *

MM/DD/YYYY

Salary desired *

$

Are you employed now?

No Yes

May we inquire of your present employer?

No Yes

Have you ever applied to this company before?

No Yes

When?

MM/DD/YYYY

EDUCATION

This information will be used only where relevant and to assist in determining what positions might be appropriate for consideration.

High School: Name and location *

High School: Number of years attended *

High School: Did you graduate? *

College: Name and location

College: Number of years attended

College: Did you graduate?

College: Subjects studied

Trade or Business School: Name and location

Trade or Business School: Number of years attended

Trade or Business School: Did you graduate?

Trade or Business School: Subjects studied

Describe any other training or apprenticeship programs you consider relevant to the position for which you are applying.

WORK EXPERIENCE

Resume (Optional)

Maximum file size: 52.43MB

Provide complete information. Be specific. Start with your current or most recent job. Include self-employment and military service. For part-time work, show the average number of hours per month. Show any changes in job title for the same employer as a separate position. Attach additional sheets if necessary.

Employer

Your title

Address

City

State

Zip code

Phone

Supervisor

Last rate of pay

Total time employed

Employed from (month & year)

Employed to (month & year)

Your duties

Reason for leaving

Add work experience Remove work experience

REFERENCES (Persons not related to you)

Name

Phone

Address

City

State

Zip Code

Business

Years acquainted

Add reference Remove reference

It is the policy of Steiner Electric, Inc. to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status, sexual orientation, or pregnancy, and to afford equal opportunities to disabled veterans, individuals with a disability, and any other characteristic protected by federal, state or local law.

AUTHORIZATION, RELEASE, AND CERTIFICATION

I certify that all information on this application is true, complete, and correct to the best of my knowledge. I understand that any false or misleading statements by me may result in rejection of my application or, if employed, my immediate dismissal.

I hereby give permission to the employer to seek to verify and supplement the information set forth in the application. I release from all liability or legal claims every person seeking or providing information, whether oral or written. A photocopy of this release shall be as valid as the original, and may be relied upon by all persons providing information.

I understand that employment with this employer is not contractual and is at-will. I understand and agree that, if hired, I may voluntarily leave employment at any time, and may be terminated at any time without prior notice for any reason, or for no reason. I understand that any oral or written statements which I may claim to have been made to me now or in the future inconsistent with the provisions of this paragraph, are expressly disavowed and revoked by the company, and should not be relied upon by me as an applicant for employment or as an employee, if hired.

I understand this application will be considered inactive after thirty days.

I understand that if my application is accepted and I am offered employment, the employer may condition employment upon the successful completion of a physical, medical, or drug testing exam.

Required *

I certify I have read and understand this authorization, release, and certification.

Signature

First

Last

Date

MM/DD/YYYY