Please print out this form. You can then fill it in by hand and mail or fax it to us (see instructions at the end of the form).

Name:

______________________________________________________________

Address:

______________________________________________________________

City/State/Zip:

______________________________________________________________

Your E-mail:

______________________________________________________________

Home Phone:

______________________________________________________________

Best time to call:

____ AM to ____ AM or

____ PM to ____PM

How many years have you worked in the electrical or low-voltage trades?

 

Electrical: ____ years

Low-voltage/Datacomm: ____ years

VDV: ____ years

T&D: ____ years

How many years have you worked in the following areas:

____ Industrial

____ Residential

____ Commercial

____ Maintenance
State/County licenses held. Please list all:

 

______________________________________________________________

______________________________________________________________

______________________________________________________________

Please list the employers you have had in your career, starting with your current employer
 

Employer

Years

Months

Title/Job

Current

_________________________

____

____

_________________________

Previous

_________________________
____
____
_________________________

Previous

_________________________
____
____
_________________________

Previous

_________________________
____
____
_________________________

Previous

_________________________
____
____
_________________________
Were there more previous employers as well? ____ Yes ____ No
Experience On The Job — Please check the boxes that apply to you — check the boxes only if you've done such work repeatedly in your career thus far

____

Project Layout and Planning

____

Control System Installation

____

Underground Installation

____

Installing Instrumentation

____

Installing Services, Switchboards, Panels

____

Telephone Systems

____

Floor Duct Installation

____

Local-Area-Networks (LANs)

____

Motor Control Center Installation

____

Security System Installation

____

Installing, Splicing & Terminating Wires and Cables

____

Sound/Communication/Intercom System Work

____

Cable Tray Installation

____

Installing Fiber Optic Cable

____

Installing & Terminating Transformers

____

Service & Troubleshooting — Residential

____

Lighting System Installation

____

Service & Troubleshooting — Commercial/Industrial

____

Fire Alarm Installation

Formal Training — Please list below any formal training you've undergone, in classrooms or hands-on:

 

______________________________________________________________

______________________________________________________________

______________________________________________________________

Certifications you now hold (if any):

 

______________________________________________________________

______________________________________________________________

______________________________________________________________

Why are you currently seeking new employment?

 

______________________________________________________________

______________________________________________________________

______________________________________________________________

Are you willing to relocate? ____ Yes ____ No

If yes, please list the areas to which you would be willing to move:

 

______________________________________________________________

______________________________________________________________

______________________________________________________________

Is there anything else we should know about you?

 

______________________________________________________________

______________________________________________________________

______________________________________________________________

Instructions on what to do with hand-filled-out forms:

1. Have you completed the entire form, especially giving us your contact information?

2. If so, visit the ElectricCareer.com web site to find a fax number in the area where you would like to obtain work. Select #2 under How to Apply.

3. If you cannot fax it, please mail it to:

Electric Careers
c/o NLMCC
3 Bethesda Metro Center, Suite 1100
Bethesda MD 20814

Thank you for your time and effort!

ElectricCareer.com is an equal opportunity site. Please be aware that this is a referral service only; we make no hiring decisions and offer no guarantee of employment. There may be no openings for someone with your qualifications at this time. Contractors that participate in this service will decide whether to respond to you directly or to keep your resume on file.