EMPLOYMENT APPLICATION EXPERIENCED APPRENTICE

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1144 West Miracle Mile, Tucson, AZ 85705 520-292-0330 Open: M-F 8a.m. to 5 p.m.

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PROJECTS
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CONTACT US

Employment Application

Experienced Apprentice

All applications submitted through this website will be reviewed by Employment Administration.

Kelly Energy, Inc. does not accept follow up phone calls from Applicants. If you feel that it is necessary to contact Employment Administration you may e-mail us at hiring@kellyenergy.com.

You may print out this form, fill it out, and stop by the office as well.

Please do not call the office.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Phone Number *

Date of Birth (dd/mm/yy): *

Address *

City *

State *

Zipcode *

Email *

Rate of Pay Requested *

I am applying for *

Entry Level Apprentice
Experienced Apprentice
Journeyman
Foreman

List how many years of TOTAL experience you have in the electrical trade: *

Are you willing to travel out of town for work? *

Yes
No

List any days / hours you are UNABLE to work or reasons you might not other than sickness and why:

Do you have a valid driver's license: *

Yes
No

For Insurance and Security Clearance Purposes

Driver's License Number: *

For Insurance and Security Clearance Purposes

State: *

Expiration *

For Insurance and Security Clearance Purposes

Do you have a clear driving record for the last 3 years? *

Yes
No

For Insurance and Security Clearance Purposes

Do you have a CDL? *

Yes
No

For Insurance and Security Clearance Purposes

Have you had a DUI or other serious infraction on your driving record? *

Yes
No

For Insurance and Security Clearance Purposes

If Yes, please explain:

Have you ever been convicted of a Felony or Misdemeanor other than a Traffic Violation? *

Yes
No

For Insurance and Security Clearance Purposes

If Yes, please explain:

Do you have your own personal and reliable transportation? *

Yes
No

For Insurance and Security Clearance Purposes

Do you have insurance on your vehicle? *

Yes
No

For Insurance and Security Clearance Purposes

How did you hear about this job?

Have you ever worked for Kelly Energy Inc. before? *

Yes
No

For Insurance and Security Clearance Purposes

If Yes, what dates did you for Kelly Energy Inc?

List any relatives or friends working for Kelly Energy Inc. right now:

Name: *

Personal Reference #1

Phone Number: *

Personal Reference #1

Relationship *

Personal Reference #1

Name: *

Personal Reference #2

Phone number *

Personal Reference #2

Relationship *

Personal Reference #2

Name: *

Personal Reference #3

Phone Number *

Personal Reference #3

Relationship *

Personal Reference #3

Name:

Personal Reference #4

Phone Number

Personal Reference #4

Relationship

Personal Reference #4

Name:

Personal Reference #5

Phone Number

Personal Reference #5

Relationship

Personal Reference #5

High School: *

Education

Attendance (dd/mm/yy-dd/mm/yy): *

Education

College/University

Education

Attendance (dd/mm/yy-dd/mm/yy): (copy)

Education

Degree/ Major

Education

Are you working now? *

Yes
No

Employment History

Employer Company (most current): *

Employment History 1

Employer (most current): Supervisor's Name: *

Employment History 1

Phone: *

Employment History 1

Starting Salary *

Employment History 1

Ending Salary: *

Employment History 1

Start and end date for this job (dd/mm/yy- dd/mm/yy) *

Employment History 1

Job Title *

Employment History 1

Duties: *

Employment History 1

Reason(s) for Leaving: *

Employment History 1

Employer Company: *

Employment History 2

Employer: Supervisor's Name: *

Employment History 2

Phone: *

Employment History 2

Starting Salary: *

Employment History 2

Ending Salary: *

Employment History 2

Start and end date for this job (dd/mm/yy- dd/mm/yy) *

Employment History 2

Job Title: *

Employment History 2

Duties: *

Employment History 2

Reason(s) for Leaving: *

Employment History 2

Employer Company: *

Employment History 3

Employer: Supervisor's Name: *

Employment History 3

Phone: *

Employment History 3

Starting Salary: *

Employment History 3

Ending Salary: *

Employment History 3

Start and end date for this job (dd/mm/yy- dd/mm/yy) *

Employment History 3

Job Title: *

Employment History 3

Duties: *

Employment History 3

Reason(s) for Leaving: *

Employment History 3

Is there a former employer you don't want us to contact? *

Yes
No

Employment History

If yes, please explain:

Employment History

Military Service *

Yes
No

Branch/ Date of Service/ MOS/ Other Information:

Are you interested in applying for enrollment in the IEC apprenticeship program? *

Yes
No

Are you interesed in applying for enrollment in this program? *

Yes
No

Have you completed an accredited Electrical Apprenticeship Program? *

Yes
No

Have you completed any other accredited program related to the Electrical Industry? *

Yes
No

Have you completed any OSHA or safety program? *

Yes
No

If yes, please list:

Please list any other schooling/ skills/ special training you have had: *

If employed, I understand that any false or misleading information or statements given in my application or during my interview may result in my immediate dismissal. (Initals) *

By signing my name digitally, I am agreeing that the information I have provided is correct and accurate to the best of my knowledge. (Applicant's Name, Date) *

1144 West Miracle Mile, Tucson, AZ 85705 520-292-0330 Open: M-F 8a.m. to 5 p.m.

HOME
SERVICES
PROJECTS
STAFF
ABOUT
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