Position(s) Applying For (required)

Application Date (required)

Personal Information

First Name (required)

Last Name (required)

Address (required)

City (required)

State (required)

ZIP (required)

Phone (required)

Phone 2

Email

How did you hear about our company? (required)

Employment Information

Citizenship/Work Status (required)
U.S. CitizenGreen Card HolderU.S. Work Permit/VisaCanadian CitizenCanadian Work Permit/Visa

Current Employer (if any)

Years of Work Experience directly related to the position you are applying for (required)

Desired Compensation (required)
HourlyAnnual

Other Compensation Desired

When are you available to start work? (required)

Education

High School

Name of School
Location
# of Years Completed
Major & Degree

College/University

Name of School
Location
# of Years Completed
Major & Degree

Business or Trade School

Name of School
Location
# of Years Completed
Major & Degree

Professional School

Name of School
Location
# of Years Completed
Major & Degree

Criminal History

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR (except any minor traffic violations)? (required)
NoYes

If yes, please explain

Driver's License Information

DO YOU HAVE A VALID DRIVER'S LICENSE? (required)
YesNo

Do you have reliable transportation to work (please be specific)? (required)

Driver's License Number

State of Issue

Driver's License Type
OperatorCommercial (CDL)Chauffeur

List any Moving Violations and/or Accidents from the last 3 years

Military Service

HAVE YOU EVER BEEN IN THE ARMED FORCES? (required)
YesNo

Branch

ARE YOU CURRENTLY A MEMBER OF THE NATIONAL GUARD or RESERVES? (required)
YesNo

Specialty

Date Entered

Discharge Date

Work Experience

Please list your work experience for the past 5 years beginning with your most recent job. If you were self-employed, give firm name. You can copy/paste in your resume below, if applicable.

Employer 1

Name of Employer
Address with city/state/zip
Phone
Name of last supervisor
Your last job title
Employment Start Date
Employment End Date
Starting Pay
Ending Pay
Reason for leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
May we contact this employer? YesNo

Employer 2

Employer 3

Employer 4

Electrical Industry Skills

ONLY select the specific industry skills that you consider yourself to be very knowledgeable about, with a high level of competency.

What types of systems have you worked with? (Select all that apply) (required)
Access ControlBuilding ManagementCCTVClimate ControlDataElevatorsEmergency Critical Load (computer) Distribution SystemsFire SystemsHigh VoltageHydraulic SystemsLow VoltageManufacturing EquipmentMechanical SystemsMedium VoltageOverhead CranesPneumatic SystemsPower DistributionRadio-RFSecurity SystemsSignaling SystemsSolid StateStreet & Highway LightingTraffic SignalingTransistorized SubsystemsVoice/TelecomNONE

What types of wiring have you worked with? (Select all that apply) (required)
1102204160480Cat5CoaxFiber OpticPhoneNONE

What specific parts, accessories, or fixtures have you worked with? (Select all that apply) (required)
3-Way SwitchesACAttic FansCeiling FansCircuit Beaker BoxConduit PipeConduit TubingControl PanelDCDimmer SwitchesElectric MeterElectrical Switchgear AssembliesFluorescent LightingFuse BoxFusesGeneratorsHalogen LightingIntercomsLighting Fixtures - RecessedLighting Fixtures - Surface MountLoad CentersMotor ControlsMotorsOutletsPanel BoardsPLCRelaysService BoxTerminalsTransformersVariable Frequency DriveWall SwitchNONE

What Applications do you have experience with? (Select all that apply) (required)
AircraftClean RoomsCommercialFloating FloorGovernment ProjectsHospitals/MedicalIndustrialManufacturingMarineMulti-FamilyOff-ShorePublic UtilitiesResidentialSchoolsNONE

What Job Functions have you performed? (Select all that apply) (required)
Activity ReportingActivity TrackingAdvertising (broadcast)Advertising (online)Advertising (print)Air Hammer OperationANSIAppliance InstallationAssemblingBudgetingBuilding CodesBusiness DevelopmentCall Center ManagementCarpentryChange OrdersChannel DevelopmentClient InteractionClient/Account ManagementCold CallingCommission DevelopmentComputer LiterateConduit BendersConnect WiresConsultative SellingContract NegotiationsContract/Proposal PreparationConventions/Trade ShowsCustomer ServiceData EntryDepartment ForecastingDesign/BuildDesignerDevelop Relationships/AlliancesDispatchingDraftingDraftsmanDrivingDrywall RepairElectrical CompatibilityEngineer/PEEstimatorExecutiveExpense ReportsFabricatingFacility ManagerField SupervisorForecastingForemanGeneral ConstructionGeneral ManagerGoal SettingIEEEInspectorInstall ConduitInstallationInstallation - New ConstructionInstructorInternationalInventory ControlJourneymanLayoutLead GenerationLead ManagementLeadershipMachine OperatorMaintenanceMaintenance - ApartmentManagerManufacturer RepMarket AnalysisMaterial HandlerNational Electrical CodeNEC StandardNegotiate ContractsNETAOEMOperate Power ToolsOperations ManagerP&LPlan-O-Grams/SchematicsPlan/SpecPlanningPolicy/Procedure DevelopmentPower ToolsPrepare Financial ReportsPresentation PreparationPreventative MaintenanceProduct DemonstrationProductionProduction SpecialistProject ManagementProject SchedulingPromotions DevelopmentProposal DevelopmentProposal PresentationProspecting/Lead GenerationPunch ListPurchase OrdersPurchasingQuality Assurance/ControlRead BlueprintsRead SchematicsReport GenerationReportingResearchRewire StructuresRough-InRun Wiring in ConduitsRun Wiring UndergroundSafetySafety CoordinatorSalesSales - In HomeSales - RetailSales - WholesaleSales - ResidentialSales Management, AreaSales Management, NationalSales Management, RegionalSales Training DevelopmentServiceService AgreementsShipping CoordinationShipping/ReceivingSizing Wires/CablesSolderingStaffingStrategic AlliancesSuperintendentSupervisionTake-offsTeam BuildingTelemarketing - InboundTelemarketing - OutboundTerritory ManagementTest Meter OperationTracing Short CircuitsTrainerTroubleshootingUsing AmmetersUsing OhmmetersUsing OscilloscopesUsing VoltmetersVendor CoordinationWiring - ConnectingWiring - InstallationWiring - TestingNONE

Certifications & Licenses

What Certifications & Licenses do you have? (Select all that apply)
Apprentice Electrician LicenseJourneyman Electrician LicenseMaster Electrician LicenseRegistered Professional Engineer

Include State and License Numbers for any licenses selected above, if applicable

Other Licenses & Certifications held

Additional Information

Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying. If you have a resume, please copy and paste it here.

Professional References

Please list 3-4 people you have worked with who can attest to your On-the-Job experience and performance.

Person 1

Name (required)
Position (required)
Company (required)
Telephone (required)
Email (required)

Person 2

Name (required)
Position (required)
Company (required)
Telephone (required)
Email (required)

Person 3

Name (required)
Position (required)
Company (required)
Telephone (required)
Email (required)

Person 4

Name
Position
Company
Telephone
Email

Did you complete this application yourself? (required)
YesNo

If not, who did?

AGREEMENT (PLEASE READ CAREFULLY BEFORE SUBMITTING)

I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Chad O’Hara’s Quality Electrical Services, Inc. creates an actual or implied contract of employment.

I understand that, if I accept employment with Chad O’Hara’s Quality Electrical Services, Inc., it will be on an at-will basis. This means that either Chad O’Hara’s Quality Electrical Services, Inc. or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.

I agree to submit to drug and alcohol testing, if requested by Chad O’Hara’s Quality Electrical Services, Inc.. I release Chad O'Hara's Quality Electrical Services, Inc., and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.

I authorize Chad O'Hara's Quality Electrical Services, Inc. to investigate information concerning my education, licensing, certifications, driving record, criminal history, employment experiences and all other aspects of my background relevant to my proposed employment. I release Chad O'Hara's Quality Electrical Services, Inc. and its employees from all liability arising from such investigation.

Digital Signature of Applicant (required)

Date (required)

Chad O'Hara's Quality Electrical Services, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Chad O'Hara's Quality Electrical Services, Inc. depends solely on your qualifications.