Application for Employment

"*" indicates required fields

Personal

Applicant Name*

First Last

Phone Number*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Email*

Cell Phone

Please list all names you have used in the past:

Have you ever been employed by our company?*

Yes

Dates of Employment:

How did you hear about our company and/or this job opening?*

Have you ever applied for employment at our company?*

Yes

Dates Applied:

Do you have any friends or relatives employed by this company?*

Yes

Please provide their names and relationship to you.

Employment Desired

Position applying for:*

Date Available:*

Salary Desired

Per

Are you interested in*

Temporary

Full-Time

Part-Time

What days and hours are you available to work?*

Are you available to work weekends?*

Yes

Overtime?*

Yes

Experience

List all present and past employment starting with your most recent employer (last five years is sufficient). You must complete this section even if attaching a resume.

Employer Name

Phone Number

Type of Business

Your Supervisor's Name

Business Address

Street Address Address Line 2 City State ZIP Code

Dates of Employment

Current Employer?

Yes

May we contact this employer for a reference?

Yes

Your position and duties

Your reason for leaving

Employer #2

Employer Name

Phone Number

Type of Business

Your Supervisor's Name

Dates of Employment

Business Address

Street Address Address Line 2 City State ZIP Code

May we contact this employer for a reference?

Yes

Your position and duties

Your reason for leaving

Employer #3

Employer Name

Phone Number

Type of Business

Your Supervisor's Name

Dates of Employment

Business Address

Street Address Address Line 2 City State ZIP Code

May we contact this employer for a reference?

Yes

Your position and duties

Your reason for leaving

References

Please list three (3) individuals who are not related to you who have knowledge of your work performance and work experience, preferably former supervisors:

Reference #1

Reference Name

First Last

Phone

Company

Position

Reference #2

Reference Name

First Last

Phone

Company

Position

Reference #3

Reference Name

First Last

Phone

Company

Position

Skills and Qualifications

Do you have any licenses, skills, training, awards that are relevant to the job for which you are applying?*

Do you speak, write or understand any foreign languages?*

Yes

Which language(s) and how fluent of a speaker do you consider yourself to be?

Can you perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?*

Yes

Please describe the functions that cannot be performed.

(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)

Can you meet the attendance requirements of this job?*

Yes

Upload Resume

Accepted file types: jpg, pdf, doc, docx, Max. file size: 50 MB.

Optionally upload your resume here.

Applicant's Certification and Signature

Please read the below statements carefully, check the box to indicate you have read and agree to the statements, and sign at the bottom of this form.

Applicant Signature*

This application, when completed and signed, becomes the property of the Company.

Comments

This field is for validation purposes and should be left unchanged.

Application for Employment

Personal

Employment Desired

Experience

Employer #2

Employer #3

References

Reference #1

Reference #2

Reference #3

Skills and Qualifications

Applicant's Certification and Signature

THE STAR OF ENERGY SAVINGS

1665 Tollhouse Road, Clovis, CA 93611 | Contractors License #1089984

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