Your Personal Information

Your Name(Required)

First Middle Initial Last

Other names by which you have been known (for date verification and reference checking purposes)

Phone(Required)

Home Phone

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Previous Address (If at current address less than 5years)

Driver's License Number/State(Required)

Emergency Contact(Required)

Emergency Contact's Cell Phone(Required)

Emergency Contact's Home/Work Phone

Current Electrical Licenses Held include License Number(Required)

Are you a US citizen?(Required)

If you are not a citizen of the United States, are you eligible to work in the U.S. and would you be able to provide the necessary documents of proof of the legal right to work upon hire?

Are you under 18?(Required)

If you are under 18 and still in high school, you may be required to provide a work permit upon hire.

Instructions for answering the following question regarding your criminal record history:

All applicants: Do not respond "yes" concerning the following: arrests or detentions that did not result in conviction; referrals to, and participation in, any pretrial or post-trial diversion program; marijuana-related convictions more than two years old; convictions for which the record has been judicially ordered sealed, expunged, or statutorily eradicated; convictions that occurred more than ten (10) years ago; misdemeanor convictions for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed; and first convictions for misdemeanors of drunkenness, simple assault, speeding, minor traffic violations, or disturbances of the peace or misdemeanor convictions where five (5) or more years have elapsed between the application date and the date of conviction or completion of incarceration, whichever is later.

Massachusetts applicants: An applicant for employment with a sealed record on file with the commissioner of probation may answer “no” with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. An applicant for employment with a sealed record on file with the commissioner of probation may answer “no” to an inquiry herein relative to prior arrests or criminal court appearances. In addition, any applicant for employment may answer “no” with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.

Have you ever been convicted of a crime?(Required)

If YES, what was (were) the offense(s)? Please include date(s) and place(s) of conviction(Required)

A CONVICTION RECORD WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT. Factors such as age at the time of the offense, type of offense and relevance to the job for which you are applying, seriousness and nature of the offense, and rehabilitation will be taken into account.

How did you hear about this career opportunity?(Required)

Employee Referral (specify below)

Craigslist.org

Self

Employee Referral (specify below)

Other (specify below)

Name of Referral Source(Required)

Have you ever been employed by or contracted with Rocky Mountain Electric?(Required)

Yes

No

Full-time

Contractor

If so, when? (Include through dates)(Required)

What position did you hold?(Required)

Manager(Required)

Employment Interest

Position Desired(Required)

Salary Desired(Required)

Date Available(Required)

Have you interviewed for another position at Rocky Mountain Electric?(Required)

If so, when?(Required)

Education & Training

Indicate last level completed:(Required)

One Year (High School)

Two Years (High School)

Three Years (High School)

Four Years (High School)

One Year (College/University)

Two Years (College/University)

Three Years (College/University)

Four Years (College/University)

Education(Required)

High School, Technical School, and College

Name of School

City, State

Major

Degree

Month/Year of Degree

Additional education, vocational, professional, military, or other information you feel may be helpful to us in considering your application:

Previous Employment

Please List most Recent employer first.

Company(Required)

Street Address(Required)

City(Required)

State(Required)

Zip Code(Required)

May we contact employer?(Required)

Starting Job Title(Required)

Final Job Title (If Applicable)(Required)

Supervisor's Name and Title(Required)

Phone Number(Required)

Reason For Leaving(Required)

Job Duties(Required)

Dates of Employment(Required)

From (mo/yr) To (mo/yr)

Starting Rate of Pay ($) - Ending Rate of Pay ($)(Required)

Additional Previous Employer

Company

Street Address

City

State

Zip Code

May we contact employer?

Starting Job Title

Final Job Title (If Applicable)

Supervisor's Name and Title

Phone Number

Reason For Leaving

Job Duties

Dates of Employment

From (mo/yr) To (mo/yr)

Starting Rate of Pay ($) - Ending Rate of Pay ($)

Additional Previous Employer

Company

Street Address

City

State

Zip Code

May we contact employer?

Starting Job Title

Final Job Title (If Applicable)

Supervisor's Name and Title

Phone Number

Reason For Leaving

Job Duties

Dates of Employment

From (mo/yr) To (mo/yr)

Starting Rate of Pay ($) - Ending Rate of Pay ($)

Business Reference Data

Please list at least one present or former manager.

Business References(Required)

Name

Email Address

Phone

Business Relationship

Read Carefully and Sign

ROCKY MOUNTAIN ELECTRIC, INC. IS AN EQUAL OPPORTUNITY EMPLOYER. IT IS THE POLICY OF THIS COMPANY TO ASSURE THAT ALL APPLICANTS AND EMPLOYEES ARE TREATED FAIRLY WITHOUT REGARD TO RACE, SEX, RELIGION, NATIONAL ORIGIN, COLOR, DISABILITY OR VETERAN STATUS. MINORITIES AND FEMALES ARE ENCOURAGED TO APPLY, HOWEVER, ALL QUALIFIED CANDIDATES WILL BE CONSIDERED.

I certify the information contained in this application is correct to the best of my knowledge, and I understand that any misstatement or omissions grounds for ending the hiring process or dismissal. I authorize verification of the information provided on this application; and authorize the references listed above to give you all pertinent information concerning my previous employment; and release all parties from all liability for any damage that may result from furnishing same to Rocky Mountain Electric. In consideration of my employment, I agree to conform to the rules and regulations of Rocky Mountain Electric, Inc. I further agree the either I or the company may terminate my employment with or without cause and with or without prior notice, at any time. Finally, I understand that no representative of the Company other than an Executive Officer has the authority to enter into any agreement for employment for any specified period or time, or to otherwise alter the forgoing.

Name(Required)

Date(Required)

Disclosure & Authorization for Background Investigation

I hereby authorize Rocky Mountain Electric, Inc. ("Company") and/or any entity directed by Company to obtain an investigative consumer report and/or consumer credit report for employment purposes, including in connection with my application for employment. An "investigative consumer report" includes any information as to your character, general reputation, personal characteristics, or mode of living. A "consumer credit report" includes any information regarding your credit worthiness, credit standing, credit capacity. The specific nature and scope of the investigative consumer report Company is seeking includes inquiries, regarding educational background; work history; personal financial status and credit history; court records, including criminal conviction record, as permitted by law; driving history; verifications of Social Security number; and references obtained from professional and personal associates. I further understand and agree that an investigative consumer report and/or consumer credit report may be obtained at any time, and any number of times, as Company in its sole discretion determines is necessary before, during or after my employment.

I hereby authorize all previous employers, educational institutions, consumer reporting agencies and other persons or entities having information about me to provide such information to Company or other entity that obtains information for Company. I further fully release Company, its employees, officers, directors, agents, successors and assigns, and all other parties involved in this background investigation, including but not limited to investigators, credit agencies and those companies or individuals who provide information to Company concerning me, from any claims or actions for any liability whatsoever related to the process or results of the background investigation.

I understand that an offer of employment is contingent upon the outcome of my background check, and that this Disclosure and Authorization is not an offer for employment by Company or a contract for employment with Company. I further understand Company operates under an AT-WILL EMPLOYMENT POLICY and this Authorization does not alter or affect that policy in any manner whatsoever.

Upload Your Resume & Cover Letter(Required)

Upload your resume in .pdf, .doc or .docx format

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Name(Required)

Date(Required)

Date of Birth(Required)

Employment Application

Your Personal Information

Instructions for answering the following question regarding your criminal record history:

Employment Interest

Education & Training

Previous Employment

Additional Previous Employer

Additional Previous Employer

Business Reference Data

Read Carefully and Sign

Disclosure & Authorization for Background Investigation