Application For Employment

EQUAL OPPORTUNITY DISCLOSURE

Hays Electrical Services, Inc. provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any person on the basis of race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Please complete all items on the application, even if the information is included on your resume or other document submitted by you.

• Sign and date your application.
• Specify the exact title of the position in which you are interested.
• Type or print all requested information.
• If necessary, add note if needed.

Personal Information

Your Email Address
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  • - Position Applying For -
  • Superintendent
  • Jobsite Foreman
  • Journeyman Electrician
  • Apprentice Electrician
- Position Applying For -
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Full Name (Last, First, Middle)
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Your Address
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City/State/Zip
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Soc. Security Number (9 digits no dashes/spaces):
Please enter a 9 digit social security number
Please enter a 9 digit social security number
Phone number ( ) -
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Drivers License Number (Num./State Issued):
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Date of Birth: MM/DD/YYYY
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General Information

Are you eligible to work in the U.S.?

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Have you ever applied to or worked for Hays Electrical before?

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Select the last date you worked here
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Are any of your relatives currently working for Hays Electrical and/or its affiliates?

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Please enter your relative's name
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Have you ever been convicted of a felony?

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Explain any/all felony convictions
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Are you willing to travel?

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Can you lift objects weighing no more than 50 pounds?

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Employment Request

Minimum salary requested?

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If necessary, can you work overtime?

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When is the earliest date you can begin work?

Select a date
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Employment History

Please begin with the most recent employment

May we contact your present employer?

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Employer:

Employer Name
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Employer Address
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Employer's Phone Number
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Dates of Employment:

Enter dates of employment
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Pay or Salary:

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Positions/Duties:

Enter positions held and duties.
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Reason for Leaving:

Enter details explaining why you have left.
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Employer:

Employer Name
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Employer Address
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Employer's Phone Number
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Dates of Employment:

Enter dates of employment
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Pay or Salary:

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Positions/Duties:

Enter positions held and duties.
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Reason for Leaving:

Enter details explaining why you have left.
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Education

Name

High School Name/GED
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University Name
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Grad School Name
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Vocational School Name
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Location

HS/GED School Address
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University Address
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Grad School Address
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Vocational School Address
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Course of Study

HS/GED Course of Study
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University Course of Study
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Grad School Course of Study
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Vocational Course of Study
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Did you get your Diploma/GED?

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Degree Obtained
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Certification Obtained
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Vocational Degree Obtained
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Military Service

Military Service?

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Branch

Military Branch
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Specialization

Please list any specializations you have.
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References

Reference Full Name 1
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Reference Full Name 2
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Reference Full Name 3
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Reference Full Name 4
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Reference Company 1
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Reference Company 2
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Reference Company 3
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Reference Company 4
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Title for Reference 1
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Title for Reference 2
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Title for Reference 3
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Title for Reference 4
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Reference 1 Phone Number
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Reference 2 Phone Number
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Reference 3 Phone Number
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Reference 4 Phone Number
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Upload Documents

Please upload a current version of your resume along with any additional certifications and documentation you feel will assist us while reviewing your application. Hays Electrical and/or its affiliates will verify all information you provide.
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Signature and Certification

I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for rejection of my application or, if I am employed by this company, for my immediate termination from employment. I authorize Hays Electrical to make any necessary inquiries and investigations into my education, military, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to Hays Electrical by any of the schools, services, or employers listed on this application.

Please sign your application to submit it.
Please sign your application to submit it.
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