APPLICATION OF EMPLOYMENT

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1 If the Submit butn does not work, save a copy of your application your computer, attach it an and send it jobs@jaamelectric.com Submit APPLICATION OF EMPLOYMENT Applicants MUST have their own transportation It is the policy of this company provide equal employment opportunities all qualified persons without regard race, creed, color, religious belief, sex, age, national origin, physical or mental handicap or veteran status. Position applying for: PERSONAL INFORMATION First Middle Initial Last Current Street Apt# City State Zip Permanent Address (if different from above): Street Apt# City State Zip Home: Cell Phone: Social Security # Driver s License # State I am an U. S. Citizen or otherwise authorized work in the United State on an unrestricted basis: Yes No If applicable, please list your visa type, visa # and expiration date: Person(s) contact in case of an emergency: Phone Number 697 Greenfield Drive, El Cajon, CA Relationship Telephone: (619)

2 Last : First : Middle Initial: POSITION INFORMATION: Position Specifications Position Applying For: How did you hear about this job? What hours are you willing work? Have you ever worked at JAAM Electric before? Yes No If yes, when? Supervisor s : Would you be able work weekends? Yes No When would you be able start? Desired salary: per Skills Please describe any skills you have in the following areas: Languages Spoken (other than English): Other: EDUCATION Technical or Vocational School and Address Did you graduate? Yes No Attended from Degree or Certification: Specialty: Special honors or awards: 697 Greenfield Drive, El Cajon, CA Telephone: (619)

3 Last : First : Middle Initial: EMPLOYMENT HISTORY: Present or Most Recent Employer Prior Employer Prior Employer San Diego: 697 Greenfield Drive, El Cajon, CA Telephone: (619)

4 Electrical Questions 1. What is your Electrical Certification Number and expiration date? 2. What is your Electrical Trainee Number and expiration date? 3. Are you willing commute? Yes How many miles? Not willing 4. Do you have any driving restrictions? Yes No 5. Do you have Mor Vehicle Insurance? Yes No 6. Vehicle type? 7. Have you ever done piece work? 8. How much do you need make an hour? 9. Are you able begin work at 6:00 a.m. if necessary? Yes No 10. Are you able work from 7:00 a.m. 3:30 p.m., Monday Friday? Yes No 11. Are you able work Saturdays if necessary? Yes No 12. When can you start? 13. Can you rough wire a house? Yes No 14. When was the last time you wired a house? 15. Can you do Electrical Underground? Yes No 16. Can you do Electrical Trim? Yes No 17. Can you ring out a house? Yes No 18. Tool Section do you have your own: (1) Hand ols? Yes No (2) Tool bags? Yes No (3) Cordless drill? Yes No (4) Hole hawg? Yes No (5) (2) 100 twist lock extension cords? Yes No (6) 6 Type 1 or 1A fiberglass A-frame ladder? Yes No 697 Greenfield Drive, El Cajon, CA Telephone: (619)

5 Last : First : Middle Initial: By Signing Below: I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment with JAAM Electric and that the answers given by me are true and correct the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material facts on this application or any document used secure my employment shall be grounds for rejection of this application. If I have already begun employment, this misstatement of facts can result in my immediate discharge, regardless of the time elapsed before discovery. I hereby authorize JAAM Electric thoroughly investigate through references, work record, education, and any other matters related my suitability for employment. By signing below, I also authorize my former employers disclose JAAM Electric any and all letters, reports, and/or other information related my work record, without giving me prior notice of the disclosure. In addition, I hereby release JAAM Electric, my former employers, and all other persons, corporations, partnerships, and/ or associates from any and all claims, demands, or liabilities arising out of or in any way related such investigation. I understand that nothing contained in the application or conveyed during any interview which may be granted is intended guarantee an employment contract between JAAM Electric and me. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or JAAM Electric. At that time, no promises or representations contrary the foregoing are binding JAAM Electric unless made in writing, and signed by myself and the President of JAAM Electric. Signature: Date: San Diego: 697 Greenfield Drive, El Cajon, CA Telephone: (619)

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