Apply Here – Cornerstone Electric

Job Application

Cornerstone Electric is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an application need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all the sections below:

Fields marked (*) required.

***Application Information***

Applicant First & Last Name*

Address*

City, State, Zip Code*

Phone Number*

Email Address*

Date of Application*

***Employment Position***
Position(s) applying for:

How did you hear about this position?*

If needed, are you available to work overtime?*

On what date can you start working if you are hired?*

Do you have reliable transportation to and from work?

Salary Desired*

***Persona Information***

Have you ever applied to or worked for Cornerstone Electric before?*

If yes, when?*

Do you have any friends, relatives, or acquaintances working for Cornerstone Electric*

If yes, state name and relationship?*

Are you 18 years of age or older?*

Are you a U.S. citizen or approved to work in the United State?*

What documents can you provide as proof of citizenship or legal status?*

Will you consent to a mandatory controlled substance test?*

Do you have any condition which would require job accommodations?*

If yes, please describe accommodations required below.*

Have you ever been convicted of a criminal offense (felony or misdemeanor)?*

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:*

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

***Job Skills/Qualifications***

Please list below the skills and qualifications you possess for the position for which you are applying*

(Note: Cornerstone Electric complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

***Education and Training***

***High School***

High School Name*

High School Location (City, State)*

High School Year Graduated*

High School Degree Earned*

***College/University***

College/University Name*

College/University Location (City, State)*

College/University Year Graduated*

College/University Degree Earned*

***Vocational School/Specialized Training***

Vocational School/Specialized Training Name*

Vocational School/Specialized Training Location (City, State)*

Vocational School/Specialized Training Year Graduated*

Vocational School/Specialized Training Degree Earned*

***Military***

Are you a member of the Armed Services?*

What branch of the military did you enlist?*

What was your military rank when discharged?*

How many years did you serve in the military?*

What military skills do you possess that would be an asset for this position?*

***Previous Employment***

***EMPLOYER ONE***

Employer Name*

Job Title*

Supervisor Name*

Employer Address*

City, State and Zip Code*

Employer Telephone*

Dates Employed*

Reason for leaving*

***EMPLOYER TWO***

Employer Name*

Job Title*

Supervisor Name*

Employer Address*

City, State and Zip Code*

Employer Telephone*

Dates Employed*

Reason for leaving*

***EMPLOYER THREE***

Employer Name*

Job Title*

Supervisor Name*

Employer Address*

City, State and Zip Code*

Employer Telephone*

Dates Employed*

Reason for leaving*

***References***

Please provide 2 personal and professional reference(s) below

***REFERENCE ONE***

First & Last Name*

Phone Number*

***REFERENCE TWO***

First & Last Name*

Phone Number*

AT-WILL EMPLOYMENT

The relationship between you and the Cornerstone Electric is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Cornerstone Electric. No representative of Cornerstone Electric has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Applicant Signature*