RK Electric, Inc.

Application for employment

Please complete the entire application to apply for any of our open positions. Answer all questions and fill out each box, or your application may be deemed incomplete and may not be considered.

Name and contact information

Today's date

Your full name

Present address Is your mailing address different from your present addressyesno

Mailing address

Email address

General

Desired position OfficeShopField

Title of desired position

Requested salary

Are you a certified Journeyman? yesno If yes, write down you General Electrician number with expiration date:

General Electrician number

Expiration date

Are you a certified Electrical Trainee? yesno If yes, write down you Electrical Trainee number with expiration date:

Electrical Trainee number

Expiration date

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Are you authorized to work lawfully in the United States?yesno Are you 18 years of age or older? ((If under 18, hire is subject to verification that you are of minimum legal age.) yesno If you are applying for a Driver position, or a position which will require you to use a company vehicle, you must be 21 years of age or older and possess a clean driving record. Do you meet this requirement?yesno Date available for employment

Have you ever worked for us in the past? yesno If yes, last position held: Dates of employment: Reason for leaving: Have you applied to work with us before? yesnoIf so, when: How were you referred to us: EmployeeAdPublicationOther Enter employee's nameEnter details about the ad Enter publication information Please specifyList any friends/relatives working at RK Electric, Inc:

Hours

Are you applying for:

Regular full time work:

yesno

Regular part time work:

yesno

Temporary work (e.g.: summer or holiday):

yesno

Specify what kind of temporary work you are looking for Specify any hours or days you cannot or will not work: Are you willing to work overtime if needed:yesno Are you available to work holidays? yesno If hired, will you have reliable transportation to and from work?yesno

Education

High School or GED

High school nameHigh school address

Did you graduate?

yesno

Post-Secondary School

Name of College or UniversityInstitution address

Did you graduate?

yesno

Major

Degree

Years completed

Post-Graduate /Other

Name of College or UniversityInstitution address

Did you graduate?

yesno

Major

Degree

Years completed

Trade School

Name of InstitutionInstitution address

Did you graduate?

yesno

Field of study

Degree

Years completed

Employment History

Please detail your entire work history. Start with your most recent position. Do not omit any employers. Request additional employment history sheets if necessary.

Most recent employer

Company

Start date

End date

Address Supervisor

Name

Position

Phone #

Starting position

Last position held

Brief description of your responsibilities Reason for leaving If currently employed, may we contact your present employer:yesno

Second most recent employer

Company

Start date

End date

Address Supervisor

Name

Position

Supervisor phone #

Starting position

Last position held

Brief description of your responsibilities Reason for leaving If currently employed, may we contact your former employer:yesno

Third most recent employer

Company

Start date

End date

Address Supervisor

Name

Position

Phone #

Starting position

Last position held

Brief description of your responsibilities Reason for leaving If currently employed, may we contact your former employer:yesno Do you need to add another employer(s)?yesno

List all your other employers' information here

Other relevant background

Specify any special training relevant to the job applied for: Specify any special skills relevant to the job applied for:

Essential requirements of the position

The essential requirements of the job for which you are applying are specified on the attached job description. (If no job description is attached, description will be provided verbally during you interview or upon request.) Can you perform the essential requirements of the position for which you are applying, with or without reasonable accommodation?
Can you perform the essential requirements of the position for which you are applying, with or without reasonable accommodation?yesno
Note: We comply with the Americans with Disabilities Act (ADA) and state law and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential requirements.

Work References

Reference #1

Name Address

Occupation

Phone number

How known

Years known

Reference #2

Name Address

Occupation

Phone number

How known

Years known

Reference #3

Name Address

Occupation

Phone number

How known

Years known

Military skills

Have you acquired, or were you trained in any skills relevant to the position applied for while in the U.S. military service? yesno

If yes, please specify skills

Certification and signature

R.K. Electric, Inc. is in compliance with the requirements of the Americans with Disabilities Act and state law. If you feel that you require a reasonable accommodation at any step of the interview/application process, please notify us within a reasonable time. We may request that you support your request with medical documentation.

It is our policy and intent to provide equal opportunity to all persons without regard to race (including traits historically associated with race), color, religion, political affiliation, sex/gender (including gender identity, gender expression, pregnancy, childbirth, breastfeeding and related medical conditions) marital status, registered domestic partner status, sexual orientation, reproductive health decision-making, age (over 40), ancestry, national origin, military or veteran status, disability, medical condition, or genetic characteristics or any other status protected by applicable state or federal law, or local ordinance. This policy covers all facets of employment including, but not limited to: recruitment, selection, placement, promotions, transfers, demotions, terminations, training, compensation and all aspects of employment.

R.K. Electric, Inc. will consider qualified applicants with a criminal history pursuant to the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if R.K. Electric is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

PLEASE CAREFULLY READ THE FOLLOWING STATEMENT BEFORE SIGNING:

I hereby certify that all information contained in this application is true and correct to the best of my knowledge. I further certify that I have not knowingly withheld any information that may adversely affect my chances for employment. I understand that any error or omission of information may result in denial of employment or termination at any time. I authorize all my current and former employers and their employees, past or present, to provide the Company any and all information concerning my employment history and any pertinent information they may have, personal or otherwise. I also authorize my former schools to provide the Company any or all information concerning my education. I also authorize all the references that I have provided to give any information concerning my background to the Company that they consider relevant to my consideration for employment. I waive all privacy interests in such information.

I also authorize all the references that I have provided to give any information concerning my background to the Company that they consider relevant to my consideration for employment. I further release all the sources referenced above (and all their employees, officers, directors and agents) and R.K. Electric, Inc. (and its employees, officers, directors and agents) of all claims and liability for any damages resulting from their furnishing any information, whether I agree or disagree with the content of the disclosed information. Thus, I understand that if any one of the above sources discloses information which I believe to be erroneous, I cannot bring any legal action against that source or R.K. Electric regarding the disclosure of the information.

I understand that if I receive a conditional offer of employment, at R.K. Electric’s discretion, R.K. Electric will require a criminal history background check conducted by a background check provider, in accordance with applicable law. In such an event, R.K. Electric will provide a separate authorization form for me to sign.

If employed, I understand that my employment can be terminated with or without cause, at any time, and for any reason, or no reason, at the option of either the Company or myself. I understand that no one other than the President of the Company has any authority to enter into an agreement for employment for a specified period of time, or to make any agreement contrary to the foregoing. Any agreement entered into by the President can only be made in writing signed by him/her and the employee.

I understand that the issuance of this Application does not indicate that there are any positions open.

Date

Signature

Type your full name

We comply with the requirements of the Americans with Disabilities Act. If you feel that you require a reasonable accommodation at any step of the interview/application process please notify us within a reasonable time. We may request that you support your request with medical documentation. It is our policy and intent to provide equal opportunity to all persons without regard to race, color, religion, sex, pregnancy, marital status, sexual orientation, age, national origin, disability, or medical condition as defined in state and federal laws. This policy covers all facets of employment including, but not limited to: recruitment, selection, placement, promotions, transfers, demotions, termination’s, training, compensation and all aspects of employment.

MENU

Application for employment

Name and contact information

General

Hours

Education

High School or GED

Post-Secondary School

Post-Graduate /Other

Trade School

Employment History

Most recent employer

Second most recent employer

Third most recent employer

Other relevant background

Essential requirements of the position

Work References

Reference #1

Reference #2

Reference #3

Military skills

Certification and signature