Employment Application

An Equal Opportunity Employer - Applicants will not be discriminated against based on race, color, national origin, religion, age (over 40), sex, disability, veteran status, citizenship, genetic information or any other characteristic protected by federal, state or local law.

All Employees are subject to pre-employment, random, reasonable suspicion, and post-accident substance abuse testing. For our complete website disclaimer please click here.
Applicant Information
Last Name First M. I.
Street Address Apartment / Unit
City State Zip Code
Phone (999)999-9999 E-mail Address
Date Available (mm/dd/yyyy) Desired Salary
Position Applied for Full Time Part Time
Are you legally authorized to work in the U.S.? Yes No
Have you ever been convicted of a felony? (Conviction of a felony does not automatically disqualify an applicant for employment) Yes No If Yes, explain
Can you perform the essential functions of the position with or without reasonable accommodation? Yes No  
Employment - Last 5 years experience in the electrical trade (Enter Last Job First)
Company
Number of Employees
Date To (mm/dd/yyyy)
Date From (mm/dd/yyyy)
 Title or Kind of Work Wages Reason for Leaving
Military Service
Branch From (mm/dd/yyyy) To (mm/dd/yyyy)
Rank at Discharge Type of Discharge
If other than honorable, explain
Education
High School / Address
Did you graduate or receive an equivalent degree? Yes No Degree
College / Address
Did you graduate? Yes No Degree
Trade / Address  
Did you graduate? Yes No Degree
Self Assessment Profile
Rank the following disciplines based on your level of competency in each area. Competency ranking from 1 to 5 with FIVE being the highest competency required to properly perform job duties.
Branch Conduit installation (1/2 to 1 1/4 conduit) 1 (Low) 2 3 4 5 (High)

Offsets, kicks, saddles, 90's

GRC/IMC, EMT, PVC
Junction box usage and sizing
Conduit Bodies
Hanger spacing and installation
Color Coding
Branch cable installation          
MC/AC cable installation
Hanger spacing and installation
Branch wire installation (#16 - #08)          
Color Codes
Wire nut sizing & installation
Kernies
Spade Lugs and Butt Splices
Device trim out          
Duplex receptacles
GFI Receptacle installation
IG Receptacles
Switches (1p, 3way, 4way)
Cord caps
Underground branch installation          
PVC Conduit installation
GRC/IMC - Wrapping conduit
U/G J-box installation
Light fixture installation          
Lay in ceiling
Sheetrock ceiling
Surface mounting
Fixture supports
Pole Lighting
          

Light pole bases

Fusing (electric code)
Bollard lighting
Grounding/Bonding          
Building grounds
Transformer Grounding
Isolated Grounding Systems
Switchboards/Motor Control Centers          
Rigging and Hoisting
Set up and supports
Bus torque
Clearances, doors, etc (Code)
GFI installation
Meter installation (Amp, Voltage, etc)
Panel boards          
Mounting
Ground bars
Isolated ground bars
Delta panels
1Ph/3Ph panels
Feeder terminations
Branch terminations
C/B sizing
Transformer installation          
Buck Boost Transformers
Step down & step up transformers
Transformer bonding
Mounting
          

Ceiling/Wall/Floor

Clearances (Code)
Disconnects          
Where required (Service, Motors, etc)
Application (Fused, Non Fused, N1, N3R, etc)
Fuse sizing & types
Fuse clips
Feeder conduit installation ( 1 1/2" to 4" conduit)          
Conduit routing and layout
Panel & J-Box penetrations
J-Box sizing & types (N1, N3, N4, etc)
Wireways & Gutters
Feeder Racks (vertical & horizontal)
Bending
Underground installation (Burial Depth, Chairs)
Feeder wire installation (#08-750MCM)          
Making up a "head"
Wire reel set-up and pulling techniques
Kernies/Compression terminations and splices
Cable supports on vertical runs
Color Coding

Motor controls & Lighting controls

          
Start/Stop Station
Jog buttons
Hand/Off/Auto Switches
Photo cell
Time Clock
Lighting Contractors
Split bus panels
Motor starters          
Sizing of motor starters
Sizing of heaters
Auxiliary Contacts
Motor terminations          
120V,208V/1Ph,208V/3Ph,480V/3Ph
0 to 100 Hp
Disconnect requirements
Electric Services          
Primary/secondary duct bank
Temporary Meter Loop
Multi-tenant service w/house service
Single tenant service
Different Utility Requirements
Blueprint reading          
Blueprints
Addendum
Specifications
Change Orders
Lay out of walls
National Electric Code          
Sizing Conduit
Sizing Wire
Clearances
Tools          
Hammer Drill
Rotor Hammer
Hydraulic Benders
(Sidewinder, Single Shot/Mult-Shot Benders)
Compression Tools
Motorized Scaffolds
Hydraulic Cable Cutters
Wire Tuggers
Core Drill
Vacuum/Birds
Meters
("Wiggy", Amp-Probe, Volt/Ohm Meter, Megge)
Optional Section          
Explosion proof basic installation          
Seal offs
Boxes
Motor connections
Bus Duct          
Supports
Plug In bus - vs. - feeder bus
Torque techniques
Did you serve an electrical apprenticeship?" Yes No Where? How long?
Any other type of electrical education
Special Training or Skills
References
Please list three professional references
Full Name Relationship
Company Phone (999)999-9999
Address
Full Name Relationship
Company Phone (999)999-9999
Address
Full Name Relationship
Company Phone (999)999-9999
Address
Disclaimer and signature
I understand I am not applying for employment with NECA. I understand NECA is accepting my application for employment with a member of NECA. I authorize NECA to allow NECA-Member Employers to receive and review this application for employment.

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, any omissions or misrepresentations of any information provided or requested will be grounds for withdrawal of my application from further consideration for employment, or termination of my employment if the omission or misrepresentation is discovered after hire.

I authorize NECA and/or any NECA-Member Employer to investigate all statements contained herein and the references listed above to give either any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to either NECA and/or its Member Employers.

I understand and agree that, if hired, I will be an at-will employee. That means my employment is for no definite period and may, regardless of the date of payment of my wages and/or salary, be terminated at any time without any cause or prior notice by me or NECA.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disability Act (ADA) and other relevant federal and state laws.

I understand that part of the application process may include submitting to a drug test to determine the use of illegal drugs. I understand that positive findings will result in immediate disqualification and the removal of my name for consideration for the position for which I am applying. I hereby agree to submit to such tests and release the results.

I understand that I will be required to provide approved documentation within three (3) days that verifies my right to work in the United States upon employment.

I hereby acknowledge that I have read and understand the above statements. Electronic submittal of this application shall require no signature. ”

NOTE: Applications are valid for [45] days after being submitted. After [45] days, you should re-apply if you are interested in obtaining employment with a NECA-Member Contractor.
Date (mm/dd/yyyy)