Employment Application Interested in joining our company? Fill out our application below! Contact InformationName(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Home Phone(Required)Other / Cell PhoneBest Phone to Call Home Other / Cell Best Time to Call(Required) Hours : Minutes AM PM AM/PM Valid Driver's License(Required) Yes No State: Driver's License # Industrial Electrical Experience: EMT Conduit Bending and Installation Industrial Motor Control Wiring Industrial PLC Wiring Power Wiring Low Voltage Wiring GRC Conduit Bending and Installation Industrial Motor Control Panel Wiring Industrial PLC Panel Wiring Industrial Motor Control or PLC Troubleshooting 5-15 KV Terminations Other Other Industrial Electric ExperienceYears of Experience as a Residential Electrician:Years of Experience as an Industrial Electrician:Years of Experience as a Low Voltage Electrician:Years of Experience as a Commercial Electrician:Total Years of Experience in Any Electrical Field:Position Applying For / Qualifications / Hourly Pay Scale(Required) Apprentice Electrician Class I: Entry Level position no experience required ($13 - $18/hr) Apprentice Electrician Class II: Experienced in the installation of conduit and power wiring under a Journeyman Electrician ($16 - $20/hr.) Journeyman Electrician Class I: Experienced in the installation of conduit up to 3" and make power, lighting, transformer and motor connections up to 600 VAC ($18 - $25/hr.) Journeyman Electrician Class II: Experienced in the installation of conduit up to 3" and make power, lighting, transformer and motor connections up to 600 VAC, and industrial controls connections ($22 - $27/hr.) Telecommunications Journeyman: Installation and Connections of Copper Cat 3 voice and Cat 5 & 6 Data Cabling ($18 - $27/hr.) Leadsman Electrician: Journeyman Electrician experience and able to lead a crew of up to 6 ($24 - $29/hr.) Foreman Electrician: : Journeyman Electrician experience and able to lead a crew of up to 12 ($26 - $33/hr.) Industrial Controls Technician: Specialize in the installation and troubleshooting of Industrial Control Systems including Programmable Logic Controllers, AC/DC Drives, Power Circuits, etc. ($26 - $33/hr.) Industrial Controls Engineer: Specialize in the implementation design and development of Industrial Control Systems (Implementation is; The specifying, installation, programming, start up and troubleshooting of the components) ($30 - $45/hr.) Minimum required Hourly Pay Rate(Required)Previous Employment: (Starting from last employer)Employer Name(Required) Phone(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Date Employed From: MM slash DD slash YYYY Date Employed To: MM slash DD slash YYYY Starting Pay: Ending Pay: Job Title: Supervisor: May We Contact?:(Required) Yes No Duties:Reason for Leaving:Employer Name PhoneAddress Street Address City State / Province / Region ZIP / Postal Code Date Employed From: MM slash DD slash YYYY Date Employed To: MM slash DD slash YYYY Starting Pay: Ending Pay: Job Title: Supervisor: May We Contact?: Yes No Duties:Reason for Leaving:Qualification QuestionsAre you 18 years of age or older?(Required) Yes No Have you ever been employed here before?(Required) Yes No If yes, when? Are you currently employed?(Required) Yes No Laid Off Our base week is 40 hours, but can you work up to 14 hours per day, 7 days per week,(not to exceed 84 hours) if needed(Required) Yes No Can you work out of town involving overnight stay from 4 to 12 days at a time, if needed:(Required) Yes No Can you pass a DOT Physical:(Required) Yes No Is your weight above 130 and below 300 pounds:(Required) Yes No Can you climb a ladder:(Required) Yes No Can you work at heights up to 50 feet:(Required) Yes No Have you ever plead "guilty" or "no contest" to, or been convicted of a crime:(Required) Yes No If yes, when? If yes, explain: Are you currently drug free and have you been drug free for at least 12 months:(Required) Yes No May we run a back ground Check and Motor Vechicle Report, if yes please enter DOB(Required) Yes No DOB Are you currently on Probation or Parole:(Required) Yes No Are you legally eligible for employment in the USA:(Required) Yes No Date you are available to start work EducationSchool Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Years CompletedDegree/Diploma School Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Years CompletedDegree/Diploma Personal ReferencesName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Telephone #Years Known MM slash DD slash YYYY How did you hear about Conaway Electrical?FacebookIndeedLocal TVNewspaper AdLadderWere you referred by a Conaway Electrical Employee, if so who? 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