Last Name

First Name

Middle Name

Street Address

City/State

Zip

Phone Number

Email

Available start date

Desired pay range

Military background?
—yesno

Volunteer fire fighter or National Guard?
—yesno

Marital status?
—MarriedSingle

How many years experience?

Do you have a valid drivers license?
—yesno

List the type of state electrical licenses you hold:

State electrical license number:

Are you currently employed?
—yesno

High school name & location

Did you graduate?
—yesno

Major/Subjects of study

College or University name & location

Did you graduate?
—yesno

Major/Subjects of study

Specialized training, trade school, etc.

Did you graduate?
—yesno

Major/Subjects of study

Please list your areas of highest proficiency, special skills or other items that may contribute to your
abilities in performing the position

Previous Experience

Please list beginning from most recent

Company Name

Location

Dates Employed

Role/Title

Job notes, tasks performed and reason for leaving:

Company Name

Location

Dates Employed

Role/Title

Job notes, tasks performed and reason for leaving:

Company Name

Location

Dates Employed

Role/Title

Job notes, tasks performed and reason for leaving:

Company Name

Location

Dates Employed

Role/Title

Job notes, tasks performed and reason for leaving:

Reference #1 Name (First & Last)

Phone Number

Reference #2 Name (First & Last)

Phone Number

Reference #3 Name (First & Last)

Phone Number

List any other comments, notes or questions:

Upload a photo of yourself:

If possible upload a photo copy of your drivers licence & electrical license

Ki Electrical Services, Inc provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Ki Electrical Services, Inc complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Ki Electrical Services, Inc expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Ki Electrical Services, Inc’s employees to perform their job duties may result in discipline up to and including discharge.