Champion Electrical Contracting, LLC is an equal opportunity employer and will base employment decisions solely on the best qualified and available person, Champion Electrical Contracting, LLC will recruit, hire and promote people in all job classifications without regard to race, color, religion, national origin, age, disability, or history of disability, or sex, status as a veteran, or other protected characteristic. This application is valid for 90 days from the date.
Applicant Information
First Name: Last Name:
Date:
Address:
Phone: Email Address:
Date Available: Social Security Number:
Position Applied For: Desired Salary:
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 before?  YES  NO If YES, when:
Have you ever been convicted of a crime?  YES  NO
If YES, when, where, and what was the disposition of the case?

Note:  CEC will not deny employment to any applicant solely because the person has been convicted of a crime. CEC, however, may consider the nature and gravity of the offense, the time passed since conviction or completion of sentence, and the nature of the job sought, and any other factor permitted by law.

Do you have a valid driver's license  YES  NO D/L#
Do you have transportation?  YES  NO
Referred by (how did you hear about us)?
Do you own tools?  YES  NO OSHA 10-Hour Certificate:  YES  NO
Are you willing to travel?  YES  NO Total Years electrical experience:
How many years of experience do you have in each area below:
Industrial
Commercial
Residential
Service Call
Maintenance
Low Voltage
Licenses(s): Journeyman Masters Residential
State where you hold these licenses(s): Registered apprentice?  YES  NO
State
Other experience which may be relative to position applied for and/or specialty tool, equipment operation experience,etc:
Previous Employment
Company: Phone:
Address:
Job Title:
Starting Salary: Ending Salary:
Responsibilities:
From: To:
Reason for leaving:
May we contact your previous supervisor for a reference?  YES  NO
 
 
Company: Phone:
Address:
Job Title:
Starting Salary: Ending Salary:
Responsibilities:
From: To:
Reason for Leaving:
May we contact your previous supervisor for a reference?  YES  NO
 
 
Company: Phone:
Address:
Job Title:
Starting Salary: Ending Salary:
Responsibilities:
From: To:
Reason for Leaving:
May we contact your previous supervisor for a reference?  YES  NO
Education
High School: Address:
From: To: Did you Graduate?  YES  NO Degree
College Address:
From: To: Did you Graduate?  YES  NO Degree
Other Address:
From: To: Did you Graduate?  YES  NO Degree
Personal Reference
Name: Tel#:
Address:
Relationship to you
Emergency Contact Information (If Injured/Hospitalized)
Name: Tel#:
Address:
Relationship to you
 
Champion Electrical Contracting, LLC
5155 Corporate Way - Suite K. Jupiter, Florida 33458
Office Phone: 561-296-4144 Office Fax: 561-296-4166
E-mail: info@championelectrical.net