TEC Electric Employment Application Applicants interested in joining our team are encouraged to apply via the application below. Company Applicant Information First Name * Last Name * Address Line 1 * Address Line 2 City * State * Zip * Email Address * Phone Number * Date of Birth * Drivers License Number * Position Applied For * Social Security Number Desired Salary * Are you a U.S. Citizen? * Yes No If no, are you authorized to work in the U.S.? * Yes No Have you ever worked for us before? * Yes No If yes, when? Have you ever been convicted of a felony? * Yes No If yes, explain: Education High School * Address Line 1 * Address Line 2 City * State * Zip * Date Attended * Did you graduate * Yes No College Address Line 1 Address Line 2 City State Zip Date Attended Did you graduate Yes No Degree Other Institution or Certification Address Line 1 Address Line 2 City State Zip Date Attended Did you graduate Yes No Degree or Certification References Name * Relationship * Company Name Address 1 * Address 2 City * State * Zip * Phone * Name * Relationship * Company Name Address 1 * Address 2 * City * State * Zip * Phone * Name * Relationship * Company Name Address 1 * Address 2 * City * State * Zip * Phone * Previous Employment Company Name * Job Title * Responsibilities * Supervisor * Phone * Address 1 * Address 2 City * State * Zip * Dates of Employment * Starting Salary * Ending Salary * Reason for Leaving * May we contact this employer for a reference? * Yes No Company Name Job Title Responsibilities Supervisor Phone Address Line 1 Address Line 2 City State Zip Dates of Employment Starting Salary Ending Salary Reason for Leaving May we contact this employer for a reference? * Yes No Company Name Job Title Responsibilities Supervisor Phone Address Line 1 Address Line 2 City State Zip Dates of Employment Starting Salary Ending Salary Reason for Leaving May we contact this employer for a reference? Yes No Military Service Branch Rank at Discharge Type of Discharge If other than honorable discharge, explain: Disclaimer and Signature I ceritify 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. Signature * Date *
