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Employment Application
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Employment Application
Contact Lowry Electrical
For All Your Electrical Needs
First Name
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Middle Name
Last Name
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Nickname
Street Address:
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Apt #
City
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State/Region
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Zip
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Phone
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Alternate/Work Phone
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Email:
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Upload Your Resume
Desired Pay
$ Desired Hourly Pay (Minimum, if applicable)
$ Minimum Salary
$ Desired Salary
Date Available to Start
Select Start Date
Immediately
2 weeks
More than 2 weeks
Please select a start date.
Are you legally eligible for employment in the United States?
Select
Yes
No
Please select an option.
*Required
Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, Lowry will verify the status of every individual offered employment with the Company. In this connection, all offers of employment are subject to verification of the applicant’s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.
Are you under 18 years old?
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Yes
No
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*Required
Are you capable of performing the essential functions of the job for which you are applying with or without a reasonable accommodation?
Select
Yes
No
Please select an option.
*Required
Employment History
PLEASE LIST YOUR WORK EXPERIENCE BELOW (MOST RECENT JOB FIRST)
Employment One
Employer
Address
Position
Duties Performed
Reason for Leaving?
Dates Worked
City
State
Zip
Please enter your Zip.
Rate of Pay
Supervisor's Name and Title & Contact
May we contact this employer?
Yes
No
Employment Two
Employer
Address
Position
Duties Performed
Reason for Leaving?
Dates Worked
City
State
Zip
Please enter your Zip.
Rate of Pay
Supervisor's Name and Title & Contact
May we contact this employer?
Yes
No
Employment Three
Employer
Address
Position
Duties Performed
Reason for Leaving?
Dates Worked
City
State
Zip
Please enter your Zip.
Rate of Pay
Supervisor's Name and Title & Contact
May we contact this employer?
Yes
No
References
Reference One
Name
Title
Company
Phone
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Reference Two
Name
Title
Company
Phone
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Reference Three
Name
Title
Company
Phone
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PLEASE READ CAREFULLY BEFORE SIGNING APPLICATION
I have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application. My signature below attests to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the Company’s employ. I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the Company in the position I am seeking. I understand that this application is not an employment contract for any specific length of time between the Company and me, and that in the event I am hired, my employment will be “at will” and either the Company or I can terminate my employment with or without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by the Company to its employees is intended to or can create an employment contract, an offer of employment or any obligation on the Company’s part. The Company may, at its sole discretion, hold in abeyance or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees. References: I hereby authorize the company and its agents to make such investigations and inquiries into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquires connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me in this form. Furthermore, I authorize the company and its agents to release any reference information to clients who request such information for purposes of evaluating my credentials and qualifications. Temporary/Contract Employment: If employed as a temporary or contract employee, I understand that I may be an employee of the company and not of any client. If employed, I further understand that my employment is not guaranteed for any specific time and may be terminated at any time for any reason. I further understand that a contract will exist between the company and each client to whom I may be assigned which will require the client to pay a fee to the company in the event that I accept direct employment with the client, I agree to notify the company immediately should I be offered direct employment by a client (or by referral of the client to any subsidiary or affiliated company), either for a permanent, temporary (including assignments through another agency), or consulting positions during my assignment or after my assignment has ended.
I have read, understand, and, by my typed name below, consent to these statements.
Signature (Enter Full Name)
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Today's Date
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