Employment Application

Integrity Electric Inc. is a certified Drug Free Workplace and applicant will be subject to a pre-employment drug screening.

Applicant Information

Date Available:

Are you a citizen of the United States?

Yes No

If no, are you authorized to work in the U.S.?

Yes No

Have you ever worked for this company?

Yes No

Have you ever been convicted of a felony?

Yes No

Education

Did you graduate?

Yes No

Did you graduate?

Yes No

Did you graduate?

Yes No

References

Please list three professional references.

Previous Employment

May we contact your previous supervisor for a reference?

Yes No

May we contact your previous supervisor for a reference?

Yes No

May we contact your previous supervisor for a reference?

Yes No

Military Service

Disclaimer and Signature

Date:

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.