Job Opportunities – Edison Electric

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

Last Name:

First Name:

Middle Name:

Address:

City:

Zip:

Telephone Number(s):

Email:

Are you at least 18 years of age?
(Those under 18 are required to show school & parent/guardian authorization
for eligibility to work)

YesNo

Have you ever filed an application with us before?

YesNo

If Yes, give date:

Have you ever been employed with us before?

YesNo

If Yes, give date:

Do any of your friends or family work here?

YesNo

If Yes, state name & relationship:

Are you currently employed?

YesNo

Date available for work:

Desired hourly rate?

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

YesNo

Do you have a current Washington state electrical card?

YesNo

If Yes: 0102Apprentice

How many months/years have you worked with a
residential apprentice or journeyman card (total)?

Do you have a Washington State driver's license?

YesNo

Are you eligible to work in the United States?

YesNo

Will you now or in the future require sponsorship for employment Visa Status(e.g.,H-1B)?

YesNo

High School Name:

High School Address:

Diploma/G.E.D./or years completed:

Trade School/College Name:

Trade School/College Address:

Diploma/or Years completed:

Hobbies/Activities:

Essential Functions For This Job:

Stamina: The ability to exert yourself physically over long periods of time without getng winded or
out of breath.
Static strength: The ability to exert maximum muscle force to lif, push, pull or carry objects.
Trunk strength: The ability to use your abdominal and lower back muscles to support part of the body
repeatedly or continuously over time without "giving out" or fatiguing.
Arm/hand steadiness: The ability to keep your hand and arm steady while moving/holding your arm or hand
in one position.
Manual dexterity: The ability to quickly move your hand together with your arm, or your two hands to
grasp, manipulate or assemble objects.
Selective Attention: The ability to concentrate on a task over a period of time without being distracted.
Team work: The ability to work alongside others as a team or alone without supervision

Can you with, or without, reasonable accommodation perform the essential functions of this job?

YesNo

I represent and warrant that all of the information on this application is accurate, complete and provides a fair and
honest record of my background. I hereby consent to a review and confirmation of me as to my ability, personal character,
professionalism and workmanship from all my previous employers. I authorize the release of information to Edison
Electric Inc. from any and all employment references that I have listed on this application. This authorization and
request includes, but is not limited to documents, background check or files regarding any charges or complaints
filed against me, including any complaints erased by law, whether formal or informal, pending or closed. A photocopy
of this authorization shall be valid as the original. I hereby release Edison Electric Inc. and all of my previous
employers, along with their officers and employees, from and against any and all liability of every nature and kind
arising from or in connection with their good faith reliance on any information, whether not true or correct, obtained
hereunder.

Enter your initials here to digitally sign this application:

Previous Work Experience

Employer 1

Employer:

Dates Employed:

Starting Hourly Rate:

Final Hourly Rate:

Job Description:

What were your duties for this employer?

Address:

Telephone Number(s):

Starting/Present Job Title:

Supervisor:

Reason for Leaving:

May We Contact:
YesNo

Employer 2

Employer:

Dates Employed:

Starting Hourly Rate:

Final Hourly Rate:

Job Description:

What were your duties for this employer?

Address:

Telephone Number(s):

Starting/Present Job Title:

Supervisor:

Reason for Leaving:

May We Contact:
YesNo

Employer 3

Employer:

Dates Employed:

Starting Hourly Rate:

Final Hourly Rate:

Job Description:

What were your duties for this employer?

Address:

Telephone Number(s):

Starting/Present Job Title:

Supervisor:

Reason for Leaving:

May We Contact:
YesNo

Employer 4

Employer:

Dates Employed:

Starting Hourly Rate:

Final Hourly Rate:

Job Description:

What were your duties for this employer?

Address:

Telephone Number(s):

Starting/Present Job Title:

Supervisor:

Reason for Leaving:

May We Contact:
YesNo