Passion Electric Journeyman Application

About You

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* 1. Contact Info

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What is your Date of Birth?

Date / Time

Date

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* 3. What type of Electrical License do you hold if any?

Electrical Apprentice Card

Residential Electrical Journeyman License

Unlimited Electrical Journeyman License

Electrical Contractors License

None of the above

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* 4. What position are you applying for?

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* 5. What is your desired pay for the position you are applying for?

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* 6. If hired, can you furnish proof you are eligible to work in the U.S.?

Yes

No

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* 7. Have you ever been convicted of a felony?

Yes

No

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* 8. Do You Have an Active Checking Account (For Payroll Direct Deposits)?

Yes

No