Application for Employment

Empire Electric M&S, Inc. is currently accepting applicants to fill available positions.

To ensure proper consideration, please fill in the information below as completely and accurately as possible.

Personal Information

Have you ever applied for employment or been employed by this Company? *
Have you ever been convicted of a felony within the last 7 years? *
Do you smoke?
Are you legally authorized to work in the United States? *
Are you willing to take a drug test if required as part of your application? *
If a favorable hiring decision is made, will you submit to a medical examination and/or answer a medical questionnaire after a hiring decision is made? *


Days Available *
Will you work overtime or shift work? *

Employment History

Employer 1
May we contact? *
Are you currently working for this employer? *
Employer 2
May we contact? *
Employer 3
May we contact? *


Reference 1
Reference 2
Reference 3

Additional Skills

Do you have a valid driver's license? *
Do you hold a journeyman or master electrician license or any other electrician license with any state, country or municipality? *
Have you had safety training for electrical work? *

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