Online Application

Name*
First Middle Last
Have you ever used another name?*
- Yes
- No
If yes, please explain*
Email*
Enter Email Confirm Email
Phone*
Address
Street Address City State ZIP Code
Position Desired*
Are you 18 years or older?*
If hired, can you submit verification of your legal right to work in the US?*
**NOTICE** **YOU MUST INDICATE IF YOU CAN VERIFY YOU ARE AUTHORIZED TO WORK IN THE US**
Do you have a valid driver's license?*
Do you have your own reliable transportation?*
Do you have a high school diploma or GED?*

If you're applying for a specific project, please specify
Date You Can Start
Date Format: MM slash DD slash YYYY
Hourly Rate Desired
Where are you currently employed?
May we inquire to your current employer?
Ever employed by AECCI before?
If so, when?
Where did you hear about us?*
Were you referred by an AECCI employee?*
Please explain (Referred by whom? Which website? Etc.)

Name of High School
Location of High School
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Name of College
Location of College
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Did you graduate?
- Yes
- No
College Area of Study
Name of Trade School
Location of Trade School
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Trade School Area of Study
Other Education

Employer 1
Name of Employer
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
City/ST
Phone
Salary
Position
Reason for Leaving
Employer 2
Name of Employer
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
City/ST
Phone
Salary
Position
Reason for Leaving
Employer 3
Name of Employer
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
City/ST
Phone
Salary
Position
Reason for Leaving
Employer 4
Name of Employer
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
City/ST
Phone
Salary
Position
Reason for Leaving
Employer 5
Name of Employer
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
City/ST
Phone
Salary
Position
Reason for Leaving
May we contact former employers to reference your employment?

Reference 1
Name
Relationship
Phone
Occupation
Years Known
Reference 2
Name
Relationship
Phone
Occupation
Years Known
Reference 3
Name
Relationship
Phone
Occupation
Years Known

Anti-Discrimination Notice: It is an unlawful employment practice for an employer to fail to hire or discharge any individual, or otherwise discriminate against any individual with respect to that individual’s terms and conditions of employment, because of such individual’s race, color, age, religion, national origin, sex, sexual orientation, gender identity, disability or history of disability, veteran status, marital status or any other basis prohibited by state or federal law.
This employer is subject to certain nondiscrimination and affirmative action recordkeeping and reporting requirements which require the employer to invite employees to voluntarily self-identify their race/ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable federal laws, executive orders, and regulations, including those which require the information to be summarized and reported to the Federal Government for civil rights enforcement purpose. If you currently choose not to self-identify your race/ethnicity, the federal government requires this employer to determine the information by visual survey and/or available information. For civil rights monitoring and enforcement purposes only, all race/ethnicity information will be collected and reported in the seven categories identified below. The definitions for each category have been established by the federal government. If you chose to voluntarily self-identify, you may mark only one of the boxes presented below.
Invitation to Self-Identify
What is your gender?
- Male
- Female
What is your race/ethnicity?
- Hispanic or Latino: A person of Cuban, Mexican, Chicano, Puerto Rican, South or Central America, or other Spanish culture or origin, regardless of race.
- White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
- Black or African American: A person having origins in any of the Black racial groups of Africa.
- Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
- Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
- American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment.
- Two or More Races: A person who primarily identifies with two or more of the above race/ethnicity categories.

How many years of experience do you have as an industrial electrician?
How many years of experience do you have as an commercial electrician?
Do you hold a master or journeyman card?
- Yes
- No
Where?
Have you attended an apprenticeship school?
- Yes
- No
How many years?
Are you willing to work out of town?
Do you have any special skills (such as backhoe operator, CDL license, etc.)?
Is there any legal reason you would be prohibited from working in close proximity to minors?*
- Yes
- No
Is there any reason you would be banned from working on government or military facilities?*
- Yes
- No
Resume Upload
Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx.

You are required to initial each statement:
*
I certify that the facts contained herein are true and complete 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 former employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you.
*
I acknowledge that AECCI is an At-Will company. The employee is free to resign at will at any time, with or without cause. The Company may terminate the employment-at-will relationship at any time, with or without notice or cause, so long as there is no violation of applicable federeal or state laws.
Comments
This field is for validation purposes and should be left unchanged.

AECCI Online Job Application

Employer 1

Employer 2

Employer 3

Employer 4

Employer 5

Reference 1

Reference 2

Reference 3

Invitation to Self-Identify

You are required to initial each statement:

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