Application For Employment

Prime Electric Company, Inc
400 S. Coltrane Rd. Edmond, OK 73034
405.359.9190

This application is valid for 15 days only from date signed.

*All fields are required

General Employment Application

Personal Information

Emergency Contact

Employment

If you answered no, please Type N/A If Not Applicable
If you answered no, please Type N/A If Not Applicable

Former Employers

If Currently Unemployed, Type Unemployed
If Currently Unemployed, Type Unemployed
If Currently Unemployed, Type Unemployed
If Currently Unemployed, Type Unemployed
If Currently Unemployed, Type Unemployed
If Currently Unemployed, Type Unemployed
If Currently Unemployed, Type Unemployed

Education

If you answered no, please Type N/A If Not Applicable
If you answered no, please Type N/A If Not Applicable

References

Reference 1
Reference 2
Reference 3

Prime Electric Company, Inc

"I certify that the facts contained in this application are true and to the best of my knowledge, and understand that, if employed, Falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above, to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages, be terminated at any time without prior notice."

NOTICE: By Typing Your Full Name & Date Above, You Agree To This Notice.
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