Fire Alarm Contractor | Application for Employment

Name *

Phone *

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Have you ever applied for employment or been employed by Colorado Electrical Systems?

yes
no

If yes, provide the month and year applied:

Are you legally eligible for employment in the US?

yes
no

Expected wage per hour:

Age if under 18:

Date available to begin work:

Will you work overtime and/or shift work?

yes
no

Are you willing to travel if required by this position?

yes
no

Do you have reliable transportation?

yes
no

EDUCATION

High School or GED graduate?

yes
no

High School name and location

College - name and location

College - course of study and years attended

Vocational/Trade School - name and location

Vocational/Trade School - course of study and years attended

EMPLOYMENT HISTORY

If hired by CES, will you be working for any other employer?

yes
no

May we contact your former employer?

yes
no

MOST RECENT EMPLOYER

Are you currently working for this employer?

yes
no

Company Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates of employment

Job Title

Job Duties

Supervisor's Name

Wages per hour

Reason(s) for leaving

SECOND MOST RECENT EMPLOYER

Company Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates of employment

Job Title

Job Duties

Supervisor's name

Wages per hour

Reason(s) for leaving

THIRD MOST RECENT EMPLOYER

Company Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates of employment

Job Title

Job Duties

Supervisor's name

Wages per hour

Reason(s) for leaving

REFERENCES - List at least 2 persons familiar with your work record and/or abilities. Please do not include relatives.

Name (reference #1) *

Phone *

Years known

Name (reference #2) *

Phone *

Years known

JOB RELATED SKILLS AND REQUIREMENTS

Do you have a valid driver's license?

yes
no

Do you hold a Colorado Installers Card or a NICET certification?

yes
no

If yes, please list the license number(s), date(s) of license(s) and location

Can you perform the requirements of this job with or without reasonable accommodation?

yes
no

Have you attended IEC Apprentice Training Classes?

yes
no

Have you had safety training?

yes
no

If yes, please describe this training:

Please list any other qualifications which you have and which you believe would be important for consideration by Colorado Electrical Systems.

REPRESENTATIONS AND WAIVERS

Read the following conditions. If you have any questions regarding the conditions, you should ask for an explanation or clarification from the employment interviewer. Signify your understanding and specific acceptance of each condition by your signature in the space provided at the end of the conditions.

In connection with my application for employment and as a condition of continuing employment, I hereby authorize Colorado Electrical Systems, to investigate any and all statements contained in this application. I hereby also consent and understand that investigative background inquires may be made on me including previous employers, schools, criminal convictions, motor vehicle, and other reports. These reports may include information as to my character, work habits, performance, education, compensation, and experience along with reasons for termination of employment from previous employers. Furthermore, I understand that Colorado Electrical Systems, may be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to my driving, criminal, civil, and other experiences. *

I authorize without reservation, any party or agency contacted to furnish the above mentioned information and release all parties involved from liability and responsibility for doing so. I hereby consent to obtaining the above information for or from Colorado Electrical Systems, and/or any of their agents. *

If hired, I will read and comfirm the policies of Colorado Electrical Systems; and I promise to abide by them. I also understand that if hired, I will be required to submit to a drug test as part of this application procedure. I hereby consent to that drug test, agree to cooperate fully with that drug test, and waive any and all objections I might otherwise have to such drug testing. *

All hiring and employment at Colorado Electrical Systems, is at will. I understand this application is not an employment contract, nor can it be used to create one. I understand and agree that if this application results in employment, my employment can be terminated with or without cause and with or without notice at any time, at the option of either Colorado Electrical Systems, or myself. I acknowledge that Colorado Electrical Systems, has not made any promises or representations that differ from those contained in this paragraph. I also understand that no manager or representative of Colorado Electrical Systems, has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the forgoing. *

I release and agree to hold harmless any individual, Colorado Electrical Systems, business institution or government agency from all liability with regard to furnishing information to Colorado Electrical Systems I agree to release and hold harmless Colorado Electrical Systems from all liability with respect to the receipt of such information. *

I understand I must provide satisfactory documentation to establish my identity and right to work in the United States, if I am offered a position with Colorado Electrical Systems, and that failure to provide this evidence will result in the termination of my employment. *

I certify and guarantee that all statements made on this application are true and complete to the best of my knowledge and without mental reservations. I understand that falsification of this application my result in my not being considered for employment or, in the event I become employed by your company, will result in my dismissal. *

Date of Application

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