Excel Electrical Homewood, IL 708-798-1900

HOURS OF OPERATION:

Our Hours Are:
Mon-Fri:
8:00am - 4:30pm

LICENSE #

We are currently seeking qualified Electricians to join our company.

Please fill out the online application below

Excel Electrical Technologies Employment Application

Application Information

Last Name		M.I.
First Name		Date
Street Address
Apartment #
City		State
Zip Code
Phone
Email Address

Position Applied for
Date Available
Desired Salary
Social Security #

Are you a U.S. Citizen? yes no
If no, are you authorized to work in the U.S yes no
Years as an electrician?
Have you ever been convicted of a felony? yes no
Able to work evenings, overnights & weekends? yes no
If yes, explain:

Education

High School
Address
From		To
Did you graduate? yes no		Degree
College
Address
From		To
Did you graduate? yes no		Degree
Other:
Address:
From:		To:
Did you graduate Other? yes no		Degree:

References
*Please list three professional references
Full Name:
Relationship:		Phone:
Company:
Address

Full Name:
Relationship:		Phone:
Company:
Address:

Full Name:
Relationship:		Phone:
Company:
Address:

Previous Employment

Company:
Address:
Phone:		Supervisor:
Job Title:
Starting Salary:		Ending Salary:
Responsibilities:
From:		To:
Reason for Leaving:
May we contact your previous supervisor for a reference? yes no

Company:
Address:
Phone:		Supervisor:
Job Title:
Starting Salary:		Ending Salary:
Responsibilities:
From:		To:
Reason for Leaving:
May we contact your previous supervisor for a reference? yes no

Military Service

Branch:
From:		To
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:


Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Online Signature:		Date