Job Application

Personal Information

Let's start with the basics.

First Name *

Middle Name

Last Name *

Street Address *

City *

State *

Zip Code *

Phone *

Email *

Position Applying For *

Employment Type *

Full-Time Part-Time

Date Available *

Salary Desired

Are you over 18? *

Yes No

Eligible for US employment? *

Yes No

Education & Qualifications

Please indicate education or training which you believe qualifies you for the position you are seeking.

High School Diploma?

Yes No

GED?

Yes No

School Name

City / State

College and/or Vocational School

School Name

City / State

Major / Field of Study

Degree Earned

Years Completed

Other Training or Degrees

School / Program

Course / Certificate Earned

Professional License

Type of License Held

State

License Number

Expiration Date

Professional Memberships

Other Professional Memberships

Skills

Skills & Qualifications

Employment History

List last employer first, including U.S. Military Service.

If any employment was under a different name, indicate name:

Employer 1 (Most Recent)

Employer Name

Phone

Address

Your Position

From (Mo/Yr)

To (Mo/Yr)

Salary

Supervisor

Department

Job Duties

Full-Time / Part-Time

Reason for Leaving

May we contact this employer? *

Yes No

Explain any gaps in work history:

Have you ever been discharged or asked to resign from a job?

Yes No

If yes, explain:

Record of Conviction

During the last ten years, have you ever been convicted of a crime other than a minor traffic offense?

Yes No

(A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered).

If yes, explain:

References & Resume

Provide professional and personal references, and upload your resume.

Professional References

Name *

Phone *

Email

Personal References

Name *

Phone *

Email

Resume Upload

Click to upload or drag and drop

PDF, DOC, or DOCX (Max 5MB)

Additional Information

Review & Submit

Please review your application before submitting.

Applicant's Certification and Agreement

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Stelco Electric, LLC to verify their accuracy and to obtain reference information on my work performance. I hereby release Stelco Electric, LLC from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

I hereby certify that the facts set forth in this application are true and complete and authorize Stelco Electric, LLC to verify their accuracy. *

Signature of Applicant (Type Full Name) *

Date