AAA Online Application

PERSONAL INFORMATION

Last Name *

First Name *

Middle Name

Address (Street, City, State, Zip) *

Phone Number *

Email Address *

Have you been convicted of a felony in the last 7 years? *

Do you have a current and valid driver's license? *

EMPLOYMENT DESIRED

Position Desired *

Date you can start * +

Salary Desired (please note /hr or /yr) *

Are you currently employed *

If yes, may we inquire of your current employer

Have you ever applied to AAA Electric before *

If yes, when? +

Who were you referred by? *

EDUCATION

Do you have a texas electrical license? *

If yes, type and number

High School Name *

High School City *

Years attended high school *

Did you graduate *

Subject studied in high school *

College Name

College City

Years attended college

Did you graduate

Subject studied in college

Name of trade or technical school?

City of trade or technical school?

Years attended

Did you graduate

Subject studied

Current Service in Reserves or National Guard? *

If yes, what branch and current rank

U.S. Military Service *

If yes, what branch

If discharged, indicate type

What was your last rank?

FORMER EMPLOYERS

Please list your past four employers, beginning with the most current

Employer #1 Begin Date +

Employer #1 End Date +

Employer Name - Company, Supervisor, Phone Number

Salary (whole number only; include /hr or /yr)
For example 10/hr or 21000/yr

Position held

Reason for leaving

Employer #2 Begin Date +

Employer #2 End Date +

Employer Name - Company, Supervisor, Phone Number

Salary (whole number only; include /hr or /yr)
For example 10/hr or 21000/yr

Position held

Reason for leaving

Employer #3 Begin Date +

Employer #3 End Date +

Employer Name - Company, Supervisor, Phone Number

Salary (whole number only; include /hr or /yr)
For example 10/hr or 21000/yr

Position held

Reason for leaving

Employer #4 Begin Date +

Employer #4 End Date +

Employer Name - Company, Supervisor, Phone Number

Salary (whole number only; include /hr or /yr)
For example 10/hr or 21000/yr

Position held

Reason for leaving

REFERENCES

Please provide personal references (prior supervisors are acceptable) with firshand knowledge of your work ethic and character.

Reference #1 Name

Phone Number

Business

Years known

Reference #2 Name

Phone Number

Business

Years known

Reference #3 Name

Phone Number

Business

Years known

Reference #4 Name

Phone Number

Business

Years known

Please upload resume

APPLICANT REPRESENTATION

I understand that if employed: 1) any misrepresentation or omission of facts requested in this application is cause for dismissal; and 2) my employment is for no definite period and I may, regardless of the date of payment of my wages or salary, be terminated at any time without prior notice.

Please type your name, this qualifies as your electronic signature, and date the below prior to beginning the application.

BY SUBMITTING THIS APPLICATION, I HEREBY AUTHORIZE AND REQUEST ANY AND ALL OF MY FORMER EMPLOYERS AND ANY OTHER PERSON, FIRM OR CORPORATION TO FURNISH ANY AND ALL INFORMATION CONCERNING MY CREDIT- WORTHINESS AND PERSONAL BACKGROUND AND I HEREBY RELEASE EACH SUCH EMPLOYER OR OTHER PERSON, FIRM OR CORPORATION FROM ANY AND ALL LIABILITY BY REASON OF FURNISHING THE REQUESTED INFORMATION.

Full Name - Qualifies as your electronic signature *

Application Date * +

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