Employment Application

You may download an application if you would prefer to fill it in and bring it in to the office

Contact Information

Position Applied For

Date

First Name

Last Name

Address

City

State

Zip

Email

Phone Number

Education

Please check Yes or No for each one.

Did you graduate High School?

Yes

No

School you graduated from

Graduation Year

Do you have a GED?

Yes

No

From which State?

Graduation Year

Do you have a College degree or Diploma?

Yes

No

From which School or College?

Graduation Year

Work History

Use the Add Button to Add another place of employment, Use the Remove to Remove a place of employment.

Provide information for at least 3 previous places of employment

Company Name

Phone Number

Supervisor's Name

From

To

Job Description

Reason for Departure

Add Remove

General Questions

What is your motivation for seeking empolyment
with Brittain Electric

Are you interested in further educations,
if so, what are your goals?

What are you best attributes?
.

What wage would you expect
as a new hire?

Do you have a
Valid GA Driving License?

Yes

No

Does your driving record include anything
that woulkd effect your being added
to BEI's auto insurance (Moving Violations, DUI, etc.)

Yes

No

Please explain your relevant driving record.

Do you have any other license that may be useful?

Do you have your own transportation

Yes

No

Are you organized?

Yes

No

Are you prompt?

Yes

no

Are you willing to work Overtime?

Yes

No

Can you work out of Town?

Yes

No

Do you have your own hand tools?

Yes

No

If hired, when can you start?

All the information provided within this application is precise and true to the best of my knowledge.

I agree the above statement is true

Agreed

If you are human, leave this field blank.