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Employment Application

NEW TECH ELECTRIC is an equal employment opportunity employer and will not discriminate against any applicant or employee on any grounds protected under federal, state, or local law, including race, color, creed, religion, age, sex, affectional preference or sexual orientation, national origin, ancestry, marital status, disability, including those related to pregnancy or childbirth, membership or activity in any local, commission, status regarding public assistance, membership or non-membership in any labor organization, or any other characteristic protected under federal, state or local law. None of the questions in this application are intended to elicit information regarding any protected characteristics, nor imply. any limitation, illegal-preferences, or discrimination based upon non-job-related information or protected characteristics.
If you are hired by NEW TECH ELECTRIC, you will be employed on an at-will basis. As an at-will employee, you may terminate your employment at any time, for any reason, without notice. Similarly, if you are hired, NEW TECH ELECTRIC will have the right to terminate your employment at any time, for any reason, without prior notice. No NEW TECH ELECTRIC supervisor or manager has the authority to offer or promise anything other than at-will employment, and no subsequent transfer, promotion or change in your employment will affect your at-will employment status.

Date

MM slash DD slash YYYY

Applicant Information

Full Name – Last, First, Middle Initial

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Date Available

MM slash DD slash YYYY

Desired Wage/Salary

Position Applied For:

Are you a citizen of the United States?

Yes

If no, are you authorized to work in the United States?

Yes

Have you ever worked for New Tech Electric?

Yes

If yes, when?

Have you ever been convicted of a crime or felony?

Yes

If yes, explain

If you are applying for positions that require driving our vehicles, please answer these questions.

Do you have a current, valid, and unrestricted Drivers License?

Yes

If yes, what class of license(s) and which state(s)?

Have you ever received a DWI or DUI or unsafe driving violation within the past two years?

Yes

If yes, please explain:

NEW TECH ELECTRIC requires that its employees be available for work throughout Minnesota as work requires. Are you prepared to work in overnight stays on occasion, wherever NEW TECH ELECTRIC may assign you?

Yes

If no, please explain:

NEW TECH ELECTRIC requires that each employee purchase a specified set of tools as a condition of employment. Each individual employee is responsible for having access to these tools each day, and the employee is responsible for transporting his/her own tools to each job site. Are you willing to purchase such tools, and do you have a valid drivers license and access to a vehicle sufficient to transport tools to and between job sites on a daily basis?

Yes

If no, please explain:

Do you plan to work for any other employer or engage in self-employment during your period of Employment with NEW TECH ELECTRIC?

Yes

If yes, please explain:

Do you have previous experience in construction other than electric?

Yes

If yes, please explain:

Are you willing to undergo a drug and/or alcohol test, as well as a physical examination, if a conditional offer of employment is extended to you?

Yes

If no, please explain:

NEW TECH ELECTRIC has policies on sexual harassment, equal employment opportunity, employees to perform all assigned work, mandatory overtime, requiring wage/salary deduction authorizations by employees for employer property, debts or money not returned or repaid, an at-will employment policy, solicitation and distribution policies requiring employees to observe all standards of conduct, work rules of NEW TECH ELECTRIC, and (for certain employees) non-competition agreement requirements. Do you agree, if hired, to comply with these and all other current or subsequently adopted NEW TECH ELECTRIC policies and requirements?

Yes

If no, please explain:

Have you ever been discharged or asked to resign by an employer?

Yes

If yes, please explain:

Are you on layoff status and eligible for recall or eligible for referral for hire by a hiring hall or employment service?

Yes

If yes, please explain:

Education

High School

Address

Dates (From-To):

Did you graduate?

Yes

Diploma?

Yes

College

Address

Dates (From-To):

Did you graduate?

Yes

Degree Received

Other

Please list ALL 3 professional references.

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilites

Dates Employed (From – To)

Reason for Leaving

May we contact this previous supervisor for a reference?

Yes

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Employed (From – To)

Reason for Leaving

May we contact this previous supervisor for a reference?

Yes

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Dates Employed (From – To)

Reason for Leaving

May we contact this previous supervisor for a reference?

Yes

Military Service

Branch

From – To

Rank at Discharge

Type of Discharge

If other than Honorable, please explain:

Disclaimer and Signature

By signing below, 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 certify that the information provided in-this employment application (and in any related documentation or interview) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date. I agree to immediately notify NEW TECH ELECTRIC if I should be convicted or plead guilty to any crime while my job application is pending, or during my period of employment if hired by NEW TECH ELECTRIC.
I authorize any person, school, organization, current employer (except as previously noted), or prior employer named in this application form (or related documentation or interview) to provide NEW TECH ELECTRIC with any information and opinion requested by NEW TECH ELECTRIC in connection with my application, and I release such persons, employers, and organizations from any legal liability in making such statements.
I UNDERSTAND THAT THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT. I UNDERSTAND THAT IF HIRED I AM OBLIGATED TO COMPLY WITH ANY AND ALL CURRENT AND SUBSEQUENTLY ADOPT NEW TECH ELECTRIC POLICIES, AND THAT NEW TECH ELECTRIC DOES NOT OFFER CONTRACTS, PROMISES OR REPRESENTATION RELATED TO EMPLOYMENT. I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME, AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF WAGES OR SALARY, BE TERMINATED AT ANY TIME FOR ANY REASON, WITH OR WITHOUT NOTICE. I UNDERSTAND THAT NO PERSON IS AUTHORIZED TO CHANGE ANY OF THE TERMS MENTIONED IN THIS EMPLOYMENT APPLICATION.

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Signature

Employment Application

Address

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