Name *

First Name

Last Name

Phone *

(###)

###

####

Birthdate *

MM

DD

YYYY

Are you eligible to work in the U.S.? *

Yes

No

Position You're Applying For *

Apprentice

Licensed Electrician

Master Electrician

Journeyman

Trainer

Customer Service

Other

Date You Can Start *

MM

DD

YYYY

Have you worked for New Electric before?

Yes

No

Have you applied with New Electric before?

Yes

No

Graduated?

Yes

No

Start Date

MM

DD

YYYY

May We Contact For References?

Yes

No

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Reference #1

First Name

Last Name

Phone

(###)

###

####

Reference #2

First Name

Last Name

Phone

(###)

###

####

BEFORE SUBMITTING YOUR APPLICATION: *

By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to New Electric's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or New Electric's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by New Electric.

I Agree