APPLICATIONS ARE POSTED FOR SIXTY-TWO (62) DAYS. IF YOU ARE STILL INTERESTED IN
HAVING YOUR APPLICATION POSTED, A NEW APPLICATION MUST BE FILED.
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I. Personal Information |
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First
Name |
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Middle
Initial |
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Last
Name |
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Address |
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Address 2 |
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City |
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State |
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ZIP |
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Phone |
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Alt. Phone |
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Miles willing to relocate or commute daily for employment |
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Email |
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Have
you ever been known by any other name(s) that IEC Oregon member may require to verify
information regarding your application? |
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If yes, identify name(s) |
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Type of position sought
(Please check all that apply) |
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(Specify)
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Electrical License Number if journeyperson or technician (Current, unexpired licenses only) |
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If licensed please check all areas of experience that apply |
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Type |
# of Years |
Type |
# of Years |
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Are you currently employed? |
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If not, how long since your last employment? |
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If currently employed, are you willing to resign your current employment if offered
a position by an IEC member? |
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Have you ever been convicted of a crime? (If Yes, please explain) |
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Please list any certifications, factory sponsored product training, or specialized
training you have taken |
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On what date would you be able to work? |
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Will you work overtime? |
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Are you available to work |
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If you have any limitations to availability, please explain |
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Do you have a valid driver's license? |
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If yes, driver's license number
and issuing state |
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II. Employment History |
Current or Most Recent Employer (Part or full
time) |
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Supervisor/Contact Name |
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Start Date |
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End Date |
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Start Rate of Pay |
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Last Rate of Pay |
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Job Title |
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Job Description |
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Reason for Leaving |
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Address |
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Address 2 |
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City |
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State |
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ZIP |
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Phone |
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Alt. Phone |
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2nd Employer (Part or full time) |
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Supervisor/Contact Name |
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Start Date |
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End Date |
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Start Rate of Pay |
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Last Rate of Pay |
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Job Title |
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Job Description |
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Reason for Leaving |
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Address |
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Address 2 |
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City |
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State |
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ZIP |
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Phone |
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Alt. Phone |
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3rd Employer (Part or full time) |
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Supervisor/Contact Name |
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Start Date |
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End Date |
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Start Rate of Pay |
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Last Rate of Pay |
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Job Title |
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Job Description |
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Reason for Leaving |
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Address |
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Address 2 |
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City |
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State |
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ZIP |
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Phone |
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Alt. Phone |
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III. References |
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Give the names of two persons (not related to you) whom you have known for at least
one year. |
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Name |
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Business |
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Phone |
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Address |
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Years Acquainted |
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Name |
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Business |
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Phone |
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Address |
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Years Acquainted |
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IV. Education Information |
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Education (Mark all that apply) |
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Last School Attended |
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Name of College |
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Credit Hours |
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Years Attended |
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From |
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To |
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Degree (if applicable) |
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Have you ever served an apprenticeship? |
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If so, what craft? |
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Years Attended |
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From |
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To |
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Name of sponsoring organization |
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Important Information and Conditions |
- I certify that all statements contained in this application or made in conjunction
with it are true and correct, and any misrepresentation or omission of facts called
for is grounds for rejection of my application (or will result in dismissal should
I be employed) whenever the correct information becomes known to the IEC member.
- I apply for this job and understand that the terms and conditions of employment
will be communicated by the potential employer prior to acceptance of employment.
- I further acknowledge that I understand that my application will be considered active
for 62 days from today's date, which is written on the first page of this application
form, and that if I wish to be considered for reemployment openings after that 62
day period, I must request and complete another application form.
- I acknowledge that I have been told that the IEC is merely a conduit through which
applications are made available to IEC members and that IEC and its members do not
guarantee or promise that I will be offered employment or even considered for employment
by one or more IEC members or my application will be forwarded to a specific IEC
member. Rather, I have been told that IEC makes available to its members the active
applications on file with the IEC upon request by the member. I also understand
that if an IEC member wishes to consider me for employment, I may be required to
appear at the member's facility and be interviewed in person before I will be considered
for employment by the member. I also understand the member may check my prior employment
history, criminal and other background or reference information before a final decision
to employ is made. I also understand that the individual IEC member(s) who interview
me may obtain applicants from other sources, such as former employees, word of mouth
or advertising, and that individual IEC members may have additional employment criteria,
experience requirements, testing (including drug testing) or other conditions for
employment that may determine whether I have the qualifications for employment and
whether I will be chosen from among other qualified applicants.
By signing (typing) my name below, I represent that I have read and understand the
above and submit my application under these conditions.
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Applicant's Signature |
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Date |
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Release (Authorization for Information) |
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I,
do hereby authorize a review and full disclosure of all records concerning me. I
authorize the company and its representatives the right to investigate all references
and the right to secure consumer reporting, or other agencies, including but not
limited to, criminal history and motor vehicle driving records. Furthermore, I authorize
all my current and former employers, school officials, instructors, licensing board(s),
reporting agencies, or any other persons whether or not named in my application
to release any information they may have regarding me, whether or not such information
is in their written records; and I hereby release all persons, schools, companies,
and law enforcement authorities from any damage whatsoever for issuing this information.
A copy of this release form will be valid as an original thereof, even though the
said photocopy does not contain an original writing of my signature.
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Applicant's Signature (Include middle name) |
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FAILURE TO SIGN ABOVE WILL RESULT IN NOT BEING POSTED ON THE WEBSITE
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