Name
J.M. Mullen Electrical Services, Inc. Instructions to Applicants
IMPORTANT: In order for this application to be considered, it must be in original form and ALL questions must be answered. If the question does not apply to you, print "N/A" which means, "not applicable."
NOTICE TO APPLICANTS: All offers of employment given by J.M. Mullen Electrical Services, Inc., also referred to as J.M. Mullen Electric, are conditional and are subject to a successful completion of a drug test at the employer's discretion.
Any and all of your answers are subject to verification by J.M. Mullen Electric before or after employment. ANY FALSE, MISLEADING OR INCOMPLETE ANSWERS WILL BE CAUSE FOR IMMEDIATE DISQUALIFICATION OR TERMINATION OF SUBSEQUENT EMPLOYMENT.
If you make a mistake in answering a question, please draw a line through your answer. Place your initials next to that line and print the correct information. Any changes to any answer must be initialed by you.
It is the policy of J.M. Mullen Electric to provide equal opportunity to all employees and applicants for employment without regard to race, color, creed, religion, national origin, ancestry, marital status, disability, age, ethnicity, sex, military status, union affiliations, status with regard to public assistance, or membership or activity in a local commission, and to make employment decisions consistent with this principle of equal opportunity.
We do not accept group applications or photocopied application forms. We do not mail applications to be completed outside our office. We do not accept unsolicited resumes. All applicants must appear in person and fill out the required application in person at the designated company office before they can be considered for employment.
Any applicant who falsifies or omits information on the application is disqualified from being hired. If the employee has been hired before the falsification or omission is discovered, he or she is subject to termination. By submission of this application, the applicant authorizes J.M. Mullen Electric to hire an outside service to provide background information on the applicant.
We base our hiring decisions on a variety of factors, including skills and ability to perform the job, prior employment with us, employment referrals as to character and willingness to work, salary history, salary requested, personal interviews if one is given to you, and contractor referrals.
All applicants to be considered must fill out applications on the company-provided application forms (which meet governmental regulatory standards for non-discrimination). Resumes or applications other than on company-provided forms will not be considered or retained.
The complete work history on any application must be completely filled out chronologically. Merely stating "references upon request" or working out of an employment source will not be acceptable unless every employer is individually listed and the dates during which an applicant was employed by them are listed. If more space is needed, attach an additional sheet. If the job history is not completely and specifically listed, the application will not be retained.
J.M. MULLEN ELECTRICAL SERVICES, INC APPLICATION FOR EMPLOYMENT
DATE
Name
Email
Address
County
Telephone
Social Security #
PLEASE PROVIDE YOUR DRIVER’S LICENSE SO WE CAN MAKE A COPY BEFORE YOU LEAVE
POSITION APPLIED FOR
Are you registered in an apprenticeship program?
If yes, what year?
Grade Average?
Are you legally eligible for employment in this country?
Green Card (if applicable)
(Proof of U.S. citizenship or immigration status will be required upon employment)
Have you ever been employed here before?
If yes, month and year
If you are under 18, can you furnish a work permit?
Date available for work:
Type of employment desired:
Full time
Part time
Summer
Have you been convicted of a felony in the past seven (7) years?
If yes, please explain:
Driver’s license number:
List any points or convictions on license
Salary Desired: per year:
or per week:
or per hour:
SKILLS AND QUALIFICATIONS: Summarize special skills and qualifications from employment or other experiences that may qualify you for work with our Company.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
APPLICATIONS ARE KEPT ACTIVE FOR THIRTY (30) DAYS.
THIS APPLICATION WILL EXPIRE:
EMPLOYMENT HISTORY: (List your last four (4) employers, assignments or type of work performed, starting with the most recent, including military experience.)
1. Name of Employer
Address
Phone
Your job title
Duties
Name of Immediate Supervisor
Position of Immediate Supervisor
Date started
Date left
Starting salary per
Final salary per
Reason for Leaving
2. Name of Employer
Address
Phone
Your job title
Duties
Name of Immediate Supervisor
Position of Immediate Supervisor
Date started
Date left
Starting salary per
Final salary per
Reason for Leaving
3. Name of Employer
Address
Phone
Your job title
Duties
Name of Immediate Supervisor
Position of Immediate Supervisor
Date started
Date left
Starting salary per
Final salary per
Reason for Leaving
3. Name of Employer
Address
Phone
Your job title
Duties
Name of Immediate Supervisor
Position of Immediate Supervisor
Date started
Date left
Starting salary per
Final salary per
Reason for Leaving
WORK REFERENCES (Please do not list relatives)
Name
Telephone
Years Known
Name
Telephone
Years Known
Name
Telephone
Years Known
EDUCATIONAL BACKGROUND
High School
School
Address
YEARS COMPLETED
YEAR YOU GRADUATED?
College
School
Address
YEARS COMPLETED
YEAR YOU GRADUATED?
Other
School
Address
YEARS COMPLETED
YEAR YOU GRADUATED?
IN CASE OF EMERGENCY, NOTIFY:
Name
Address
Phone
Relationship
It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the Employer has the authority to make assurances to the contrary.
I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.
Signature of Applicant
Date
Send