EMPLOYMENT APPLICATION

Palmetto Residential Electric, LLC (the “Company”) is an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to age, race, color, sex, religion, nation origin, marital status, ancestry, citizenship, veteran status, sexual orientation or preference, or physical or mental ability.

Personal

Name *

First

Middle

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Position Applied For *

Salary Desired *

Have you ever interviewed with the Company or its affiliates before?

Dates

Do you have any relatives employed by the Company or its affiliates

Dates

Are you at least 18 years old?

If you are under 18, do you have a work permit?

Education High School

Select highest grade completed:

Diploma or Certificate

Major Studies

High School Name

High School Address

Address Line 1

Address Line 2

City

State

Zip Code

Education College

College / University

Degree or Certificate

Major Studies

College / University Address

Address Line 1

Address Line 2

City

State

Zip Code

Education Vocational, Business, Other

Vocational, Business, Other Name

Degree, Diploma, License or Certificate

Major Studies

Vocational, Business, Other Address

Address Line 1

Address Line 2

City

State

Zip Code

List any professional designations

Other special knowledge, skills, or qualifications

For Clerical Applicants Only:

Do you type?

Computer Skills (Hardware/Software)

Employment History

List all employment for the past ten (10) years, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information.

Employer Name

Employed From

Employed Until

Supervisor Name

Supervisor Phone #

Starting Salary

Ending Salary

Job Title

Reason for Leaving

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Duties & Responsibilities

Employer #2 Name

Employed From

Employed Until

Supervisor Name

Supervisor Phone #

Starting Salary

Ending Salary

Job Title

Reason for Leaving

Employer #2 Address

Address Line 1

Address Line 2

City

State

Zip Code

Duties & Responsibilities

Employer #3 Name

Employed Until

Employed From

Supervisor Name

Supervisor Phone #

Starting Salary

Ending Salary

Job Title

Reason for Leaving

Employer #3 Address

Address Line 1

Address Line 2

City

State

Zip Code

Duties & Responsibilities

General

May we contact your current employer for references? *

If hired, will you be able to work overtime? *

Will you be able to perform the essential job functions for the position you are applying for with or without reasonable accommodation? *

CERTIFICATION & AUTHORIZATION

The above information is true and correct. I understand that, in the event of my employment by the Company, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery. I authorize the Company to inquire into my educational, professional, and past employment history referenced as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize the Company to obtain any credit and consumer check. I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company under which my employment could be terminated only for cause. On the contrary, I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me or the Company at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing. If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9. I hereby acknowledge that I have read and agree to the above statements.

1.When wiring an A/c Unit what size wire do you pull and what size breaker would you put it on if the unit was 30 a amp Minimum and a 35 amp max? *

2. What happens if a wire is loose in the panel and under a load? *

3. What is the difference between a snap in and bolt in breaker? *

4. What size service cable is pulled on a 200 AMP service for both copper and aluminum? *

5. What is the maximum distance between 2 kitchen countertop receptacles? *

6. What type of wire is pulled to a ceiling fan/light prewire? *

References

Please list three (3) references that are familiar with your work life.

Reference 1

First Name *

Last Name *

Phone *

Years Known: *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference 2

First Name *

Last Name *

Phone *

Years Known: *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference 3

First Name *

Last Name *

Phone *

Years Known: *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Upload your resume (PDF or Word)

Click or drag a file to this area to upload.

Signature

Website

By providing my phone number to Palmetto Residential Electric I agree and acknowledge that Palmetto Residential Electric may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”. For more information on how your data will be handled please visit our Privacy Policy.