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Peterson Electric I&E Group LLC, “PECO” serves the industrial sector of the oil and gas field”
Employment Application
Applicant Information
Full Name:
First
Middle
Last
Date:
Address:
Street Address
Apartment/Unit #
City
State / Province / Region
ZIP / Postal Code
Phone:
Email:
Date Available:
Social Security No.:
Desired Salary:
Position Applied for:
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever worked for this company?
Yes
No
If yes, when?
Have you ever been convicted of a felony?
Yes
No
If yes, explain:
Education
High School:
Address:
From:
To:
Did you graduate?
Yes
No
Diploma:
College:
Address:
From:
To:
Did you graduate?
Yes
No
Degree:
Other:
Address:
From:
To:
Did you graduate?
Yes
No
Degree:
References
Please list three professional references.
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Full Name:
Relationship:
Company:
Phone:
Address:
Previous Employment
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From
To
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
+ add more
Military Service
Branch:
From
To
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
*
I agree
Are you willing to travel?
*
Yes
No
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