Grace Electric Shreveport Electrician

Personal Information
Fill out the form below to submit your job application.
* Indicates Required Fields.
*First Name:
Middle Initial:
*Last Name:
How long at this address?
Mailing Address:
Telephone Number:
Alternate Phone:
List any other name(s) used:
First Choice:
Second Choice:
Shift Preferred: Day Evening Any
Type of Work Desired: Full Time Part Time
Desired Rate of Pay: per hour
General Information
Have you applied at Grace Electric LLC before ? Yes:     No:
Have you worked for Grace Electric LLC before ? Yes:     No:
Please list any of your friends or family who are employed by Grace Electric LLC:
Have you EVER pled guilty, no contender, no contest or been convicted of a misdemeanor or felony (including D.U.I. or D.W.I.)? Do not include minor traffic violations: Yes:     No:
If yes, please explain ALL convictions, including dates and details of convictions, even if the court records are sealed. A criminal conviction will not necessasrily disqualify you from employment:
If hired, will you be working more than one job? Yes:     No:
If yes, other employer's company name and your scheduled shifts
Employment History
List your employment record for this last SIX EMPLOYERS or (3) THREE YEARS. Start with your most recent employer. Include U.S. Military Service. PLEASE NOTE and explain any periods of unemployment of over two (2) months.
Name of Employer:
Start Date:
End Date:
Starting Pay Rate:
Ending Pay Rate:
Reason For Leaving:
Positions Held, Titles:
Reasons for periods of unemployment and any additional comments:
*(this is a required field if Employment History is left blank)
Education / Training
List Schools and/or Branch of Service and Locations (City State) Level Attained
List the name, addresses and phone numbers of three persons (not relatives or former employers) who have knowledge of your job experience and ability.
I certify that the answers given by me to the above questions and statements are true and correct. I authorize any person or entity named to release any information they may have regarding my prior employment and character. Anyone who may furnish any information concerning my character, habits, ability, criminal convictions or reason for leaving any employment shall not be responsible for any loss or damage that I may suffer in consequence thereof. I understand that any falsification, misinformation or omissions on this application, or any other document provided by me to the Grace Electric LLC, may result in the termination of my employment. I understand that this is an employment application and that no contract for my employment is being offered. If I am employed by the Grace Electric LLC, I understand that I will be an "at-will" employee. As such, I will be employed for an indefinite period of time. I further understand that my employment does not constitute a contractual relationship, either expressed or implied of any kind, and that either I or Grace Electric LLC may terminate my employment for any reason, or no reason, at any time.
By checking this box, I understand I am applying my electronic signature to this employment application stating I have read and understand the above statements.

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