Employment Application Please enable JavaScript in your browser to complete this form. - Step 1 of 4Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Please enter your email, so we can follow up with you.Position Applied For:Date AvailableDesired SalaryDays You Are AvailableMondayTuesdayWednesdayThursdayFridaySaturdaySundayAre You Willing To Work Overtime?YesNoAre You A Citizen Of The United StatesYesNoIf No, Are You Authorized To Work In The US?YesNoHave You Ever Worked For Lenhart Electric Before?YesNoIf Yes, When?Have You Ever Been Convicted Of A Felony?YesNoIf Yes, Explain: (copy)Have You Used Illegal Drugs In The Past 6 Months?YesNoIf Yes, Explain:NextEducation and TrainingHigh SchoolAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFrom (Date)To (Date)Did You Graduate?YesNoTrade SchoolAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFrom (Date) To (Date) Did You Graduate?YesNoCollegeAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFrom (Date) To (Date) Did You Graduate?YesNoReferencesPlease list three professional references. Do not list relatives or personal friends. NameFirstLastRelationshipCompanyPhoneNameFirstLastRelationshipCompanyPhoneNameFirstLastRelationshipCompanyPhonePreviousNextPrevious EmploymentCompanyAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneSupervisorFirstLastJob TitleEnding Salary ResponsibilitiesAre You Still Working At This Company?YesNoFrom (Date)To (Date)Reason for LeavingMay We Contact Your Previous Supervisor For A Reference?YesNoCompany #2PhoneAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSupervisor FirstLastJob TitleEnding SalaryResponsibilitiesFrom (Date) To (Date)Reason for LeavingMay We Contact Your Previous Supervisor For A Reference?YesNoCompany #3PhoneAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSupervisorFirstLastJob TitleEnding SalaryResponsibilitiesFrom (Date) To (Date)Reason For LeavingMay We Contact Your Previous Supervisor For A Reference?YesNoHow Did You Hear About Us?How Did You Hear About Us?Newspaper Word of MouthIndeed.com Lenhart WebsiteWalk‐inReferralOther If A Referral, Who Referred You?If Other, How Did You Hear About Us?PreviousNextAdditional DocumentationUpload Your Resume Click or drag a file to this area to upload. pdf, doc, docxUpload Any Additional Documents Click or drag a file to this area to upload. pdf, doc, docxUpload Any Additional Documents Click or drag a file to this area to upload. pdf, doc, docxDisclaimer and SignatureI certify that my answers are true and complete to the best of my knowledge authorize my former employers to furnish all information pertaining to my work record. I hereby release my former employers from all liability on account of furnishing such information. I understand that if employed, false statements, omissions or misleading statements on this application, regardless of the time they are discovered, shall be considered sufficient cause for dismissal. I also agree that my employer shall not be held liable in any respect if my employment is terminated because of such omissions or false or misleading statements. The company is hereby authorized to investigate my employment history, including contacting employers listed and to verify my education and training. Consumer reports may be obtained as part of the application/employment evaluation of my job application/employment. The reports may be procured by our current insurance company and may include my driving record, an assessment of my insurability under the company’s insurance coverage’s or other consumer reports. By signing this disclosure, I hereby authorize the company to procure such reports and additional reports from me from time to time as it deems appropriate, to evaluate my insurability or for other permissible purposes.Driver's License Number *Social Security # *Digital Signature (type your name) *Name *FirstLastDate *CommentSubmit