Application For Employment

CV Services is an equal opportunity employer. All applicants are considered without regard to race, age, color, gender, ethnic group, national origin, religion, citizenship, marital status, sexual orientation, veteran status, physical or mental disability, or medical condition.

Personal Information

First Name:
Middle Initial:
Last Name:
Address:
Address 2:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Email Address:
Age 18 or over:	Yes
Have you ever interviewed or been employed with this company before?	No Yes Provide dates, locations, and positions applied for

Employment Desired

Position Applying for:
Desired Pay:	$
Are you currently employed:	No Yes May we contact your present employer? Yes No
Start Date:
How did you find out about this position:
Employment Type: (Check all that apply)	Full time Part Time Summer Temporary
Do you have any kind of work restrictions for the applied position:

Skills (not all may be necessary for the job you seek)

Foreman abilities:	Excellent Good Fair A little Not at all
Blueprint reading:	Excellent Good Fair A little Not at all
Layout of work:	Excellent Good Fair A little Not at all
Bending conduit:	Excellent Good Fair A little Not at all
Installation and layout of branch circuits:	Excellent Good Fair A little Not at all
Fire alarm & security system installations:	Excellent Good Fair A little Not at all
Telephone / Data wiring:	Excellent Good Fair A little Not at all
Certificate / Licenses:

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Education

High School Name and Address: Date Graduated / Level Completed: Major Studies: Degree/Diploma:

Vocational, Apprentice Training, etc. Name and Address: Date Graduated / Level Completed: Major Studies: Degree/Diploma License/Certificate:

Military

Branch:
Dates of Service:	to
Final Rank:
Assignment:
Branch:
Dates of Service:	to
Final Rank:
Assignment:

Employment History

Please list the 3 most current employers.

Job Title:
Dates:	to
Employer Name and Address:
Supervisor Name and Job Title:
Phone #:
Reason for leaving:
Duties, Responsibilities, Promotions:
Salary:	Start: End:

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References

Please provide three references (not relatives or previous employers).

Name:
Address:
Phone:
Relationship:
Years Known:
Name:
Address:
Phone:
Relationship:
Years Known:
Name:
Address:
Phone:
Relationship:
Years Known:

General Information

Will you be able to perform the job functions for the position you are applying for with or without reasonable accommodation?	Yes No
Have you ever convicted of a Felony crime?	Yes No Please expalin:
Criminal and Child Abuse Background Checks are a requirement of employment. Would you submit to these background checks?	Yes No
Drug testing is a requirement for employment. Would you submit to this testing?	Yes No
Do you have a drivers license?	Yes No Drivers License #: State: Type:
Do you have a method of being transported to work?	Yes No

Return to page 2 Finish your application

Applicant Statement

I understand and agree to the following:

This application is not a contract of employment.

Should the employer hire me and should any of the information I have given in this application be found false, misleading, or incomplete, I shall be subject to dismissal.

The employer follows an “at will” employment policy, meaning I or the employer may terminate employment at any time for any reason consistent with applicable law.

All hired persons must provide proof of identity and authorization to work in the US. Failure to produce such proof will result in denial of employment.

I authorize investigation of all statements given on this application. The employer may contact any educational institution, reference, or employer listed on this application, except my current employer if so noted, to verify the information I have given. I hereby release all involved parties from any liability arising from such an investigation.

By checking this checkbox you certify that all the information given in this application is complete and true.