Employment Application

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

This is for employment communication. You will not be added to any lists or shared with third parties.

Position Applied For: *

Date Available *

Desired Salary *

Soc Sec#

Are You Authorized To Work In The US? *

Yes
No

Have You Ever Worked For Lenhart Electric Before? *

Yes
No

If Yes, When?

ELECTRICIAN APPLICANTS ONLY – Have you been convicted of a felony in the past 20 years or a misdemeanor in the past 10 years? *

Yes
No

(Answering “yes” to this question will not automatically disqualify you from employment unless applicable law requires such action.)

If "Yes," Explain:

How did you hear about this job?

Job Board/Website
Employee
Other

Please provide more detail below

Source indicated above (website, employee's name, etc)

Education and Training – Fill in all that apply

HIGH SCHOOL ATTENDED

Address

Address Line 1

City

State

From (Date)

To (Date)

Did You Graduate?

Yes
No

TRADE SCHOOL ATTENDED

Address

Address Line 1

City

State

From (Date)

To (Date)

Did You Graduate?

Yes
No

Degree or Certification

COLLEGE ATTENDED

Address

Address Line 1

City

State

From (Date)

To (Date)

Did You Graduate?

Yes
No

Degree

References

Please list TWO PROFESSIONAL references. Do not list relatives or personal friends.

Professional Reference #1

First

Last

Relationship

Company

Phone

Professional Reference #2

First

Last

Relationship

Company

Phone

Previous Employment

Company

Address

Address Line 1

City

State

Phone

Supervisor

First

Last

Your Job Title

Starting Salary

Ending Salary

Responsibilities

Are You Still Working At This Company?

Yes
No

From (Date)

To (Date)

Reason For Leaving

May We Contact Your Previous Supervisor For A Reference?

Yes
No

Company #2

Phone

Address

Address Line 1

City

State

Supervisor

First

Last

Your Job Title

Starting Salary

Ending Salary

Responsibilities

From (Date)

To (Date)

Reason for Leaving

May We Contact Your Previous Supervisor For A Reference?

Yes
No

Company #3

Phone

Address

Address Line 1

City

State

Supervisor

First

Last

Your Job Title

Starting Salary

Ending Salary

Responsibilities

From (Date)

To (Date)

Reason for Leaving

May We Contact Your Previous Supervisor For A Reference?

Yes
No

Military Service

Branch served

Start of service date

End of service date

Rank at discharge

Type of discharge

If other than honorable, please explain

Optional Additional Documentation

Upload Your Resume

Click or drag a file to this area to upload.

pdf, doc, docx

Disclaimer and Signature

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Lenhart Electric to verify their accuracy and to obtain reference information on my work performance. I hereby release Lenhart Electric from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

Digital Acknowledgment *

First

Last

Today's Date

Lic# EC13012721

352-748-5818

Education and Training – Fill in all that apply

References

Previous Employment

Military Service

Optional Additional Documentation

Disclaimer and Signature