Pre-Employment Questionnaire

You are welcome to contact us directly at (800) 926-2809, by email at info@tcelectric.biz, or by mail at 6701 Governor Printz Blvd Wilmington, DE 19809.

*First Name:  
*Last Name: 
Current Address: 
 
City: 
State: 
Zip Code: 
Permanent Address: 
 
City: 
State: 
Zip Code: 
*Phone: 
*Email: 


Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
 

Are you 18 years or older?
 

Employment Desired

Position:
Start Date:
Salary Desired:
Are you Employed Now?: Yes   No
May we contact your current employer?: Yes   No
Applied to this company before?: Yes   No
If so, where and when:
Referred by:


Education

Grammar School/Location:
High School/Location:
# Years Attended:Did you Graduate?: Yes
College/Location:
# Years Attended:Did you Graduate?: Yes
Subjects Studied:
Trade/Business School/Location:
# Years Attended:Did you Graduate?: Yes
Subjects Studied:
Military or Naval Service:
Rank:Present membership in National Guard or Reserves?: Yes


General

Activities (Civil, Athletic, etc):

*Exclude organizations of which indicate race, gender, creed, sex, age, marital status, color of nation of origin of its members.



Have you ever been convicted of a felony?
 
Have you ever been convicted of a sex crime?
 


Work History

Previous Job 1

Name & Address of Employer
PositionSalary
Month/YearsReason for Leaving


Previous Job 2

Name & Address of Employer
PositionSalary
Month/YearsReason for Leaving


Previous Job 3

Name & Address of Employer
PositionSalary
Month/YearsReason for Leaving


Previous Job 4

Name & Address of Employer
PositionSalary
Month/YearsReason for Leaving


Which of these jobs did you like best? What did you like most about that job?


References

Give the names of 3 people not related to you, whom you have known at least one year.

Reference 1

NameYears Acquainted
AddressBusiness


Reference 2

NameYears Acquainted
AddressBusiness


Reference 3

NameYears Acquainted
AddressBusiness


Emergency Contact

NamePhone Number
Address


Additional Comments or Notes:


I certify that all the information submitted by me on this application is true and complete. I understand that if any false information omissions or misrepresentations are discovered my application may be rejected. If I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to confirm to the company's rules and regulations. I agree that my employment and compensation can be terminated with or without cause and with or without notice. I also understand and agree that the terms and conditions of my employment may be changed with or without notice. The president has the authority to enter into agreement for employment for any specific period of time or make any agreement contrary to the foregoing.




CAPTCHA Image [ Different Image ]