JC Electric Inc.

Durham, NC 27705

Phone Number

919-309-9000

Send Your Mail

support@jcenc.com

Employment

    3430 Coates Industrial Blvd.

    Durham, NC 27705

    Phone: 919.309.9000

    Fax: 919.309.9927

    www.jcelectricinc.net

    APPLICATION
    FOR EMPLOYMENT

    We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

    (PLEASE PRINT)

    Position(s) Applied For:

    Date of Application:

    How Did You Learn About Us?

    Residences (Past 5 years - Starting with current)

    Best time to contact you at home is:

    If you are under 18 years of age, can you provide required proof of your eligibility to work?

    Have you ever filed an application with us before?

    If Yes, give date:

    Have you ever been employed with us before?

    If Yes, give date:

    Do any of your friends or relatives, other than spouse, work here?

    Are you currently employed?

    May we contact your present employer?

    Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

    Proof of citizenship or immigration status will be required upon employment

    Date available for work:

    What is your desired salary range?

    Are you available to work:

    (please indicate (circle one):

    (please indicate dates available)

    -

    Are you currently on "lay-off" status and subject to recall?

    Can you travel if a job requires it?

    Have you ever been convicted of a felony?

    WE ARE AN EQUAL OPPORTUNITY EMPLOYER

    EDUCATION

       

    Name and Address of School

    Course of Study

    Years Completed

    Diploma or Degree or Certificate

    Elementary School

    High School

    Undergraduate College

    Graduate Professional

    Other (Specify)

    Describe any specialized training, apprenticeship, skills and extra-curricular activities.

    Describe any job-related training received in the United States Military.

    ADDITIONAL INFORMATION

    OTHER QUALIFICATIONS

    Summarize special job-related skills and qualifications acquired from employment or other experience

    SPECIALIZED SKILLS

    Production/Mobile Machinery (List)

    Other (List)

    EMPLOYMENT EXPERIENCE

    Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status

    Employer

    Address

    Telephone Number(s)

    Job Title

    Supervisor

    Reason for Leaving

       

    Dates Employed

    Work Performed

    From

    To

    Hourly Rate/Salary

    Starting

    Ending

    Employer

    Address

    Telephone Number(s)

    Job Title

    Supervisor

    Reason for Leaving

       

    Dates Employed

    Work Performed

    Hourly Rate/Salary

    Starting

    Ending

    Employer

    Address

    Telephone Number(s)

    Job Title

    Supervisor

    Reason for Leaving

       

    Dates Employed

    Work Performed

    Hourly Rate/Salary

    Starting

    Ending

    Employer

    Address

    Telephone Number(s)

    Job Title

    Supervisor

    Reason for Leaving

       

    Dates Employed

    Work Performed

    Hourly Rate/Salary

    Starting

    Ending

    REFERENCES

    1

    2

    3

    State any additional information you feel may be helpful to us in considering your application.

    Applicant Statement and Authorization to Release Records

    I understand and agree that: The information supplied, was submitted by myself, and all information is true and correct, to the best of my knowledge.

    I understand that false or misleading information given in my application and/or interview(s) will be considered as cause for possible dismissals and/or discharg


    I also understand that I am to abide by all rules and regulations of JC Electric, Inc. JC Electric, Inc. has my authorization to thoroughly investigate my work and personal history. I understand that the information supplied by me, regarding my: Employment History, Education (including an authorization to release transcripts), Credit History, Criminal History, Professional Licensing, Motor Vehicle Record(s), Residence History and References, will be utilized as part of the processing procedures. A background check will be conducted to verify the information submitted and will be utilized to develop information concerning my character, general reputation, personal characteristics, and mode of living. I will hold no person liable for giving or receiving information in this investigation. I hereby authorize an agent of JC Electric, Inc. to make a thorough check of my past Employment, Education and activities. I release from liability all persons, companies and corporations supplying that information. I release and indemnify JC Electric, Inc. and against any liability that might result from making such background checks. A copy of this form is as valid as the original.

    This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time

    I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this ''at will'' employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

    I understand that the date of birth and telephone information supplied by applicant is for identification and statistical purposes. It is not used in any manner considered discriminatory under EEOC guidelines.

    I also understand that I must pass a Drug Test and a Social Security Validation in order to gain employment. Also if hired I agree to read the Company provided employee handbook and sign a sheet agreeing to abide by the terms contained within. All terms in this handbook override any conditions listed above.

    Signature of Applicant

    Date

    If you are filing this application electronically by typing your name & date; this is considered to be an electronic signature. You will be asked to hand sign after your typed name if employed.

    FOR PERSONNEL DEPARTMENT USE ONLY

    Employed

    Use for admin only

    Date of Employment

    Use for admin only

    Hourly Rate/Salary

    Use for admin only

    Job Title

    Use for admin only

    Remarks

    Use for admin only

    By

    Use for admin only

    Date

    Use for admin only