D & R
Energy Services
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Employment Opportunities

Employment Application

Currently Hiring:
Master Electrician
Renewable Energy Installers
Commission Based Sales Consultant

D & R Energy Services Secure Employment Application.
*Required Questions.

Position Applying For: *
First Name: *
Middle Name: *
Last Name: *
Date of Birth: *
Street Address: *
Apartment/Unit #:
City of Residence: *
State: *
Zip Code: *
Primary Phone Number: *
Secondary Phone Number:
Email Address:
Social Security Number: *
Date available to begin employment: *
Have you ever been convicted of a felony?:*
If you have been convicted, please explain:
Have you been convicted of a Misdemeanor in the past 5 years?:*
If you have been convicted in the past 5 years, please explain:
High School: Name and Location: *
Did You Graduate High School:*
College: Name and Location:
Did You Graduate College:
College Major/Subjects of Study:
Skills and Qualifications: Licenses, Skills, Training, Awards:
Present Or Last Employer: *
Company Phone Number: *
Present Or Last Supervisors Name: *
Present Or Last Position Title: *
Responsibilities: *
Salary Or Wage Of Last Position: *
Date Of Employment: From: *
Date Of Employment: To: *
Are You Currently Employed With This Company?:*
If Not, Reason for Leaving:
May We Contact This Company?:*
Previous Employer:
Company Phone Number:
Supervisors Name:
Position Title:
Responsibilities:
Salary Or Wage Paid:
Date Of Employment: From:
Date Of Employment: To:
Reason for Leaving:
Previous Employer:
Company Phone Number:
Supervisors Name:
Position Title:
Responsibilities:
Salary Or Wage Paid:
Date Of Employment: From:
Date Of Employment: To:
Reason for Leaving:
Military Service: Branch, Rank, Dates:
Reference #1 Name, Relationship, Phone number: *
Reference #2 Name, Relationship, Phone number: *
Reference #3 Name, Relationship, Phone number: *
Digital Signature: Please Initial Here: *
By including your initials you hereby certify that the facts set forth in this employment application are true and complete to the best of your knowledge. You understand that false statements of any kind or omission of facts called for on this application are a basis for dismissal regardless when they are discovered. You understand that any employment offered is for an indefinite duration, unless otherwise specified in writing, and is at-will, which means that either you or the company you are applying for may terminate your employment at any time with or without notice or cause. You further understand that neither the policies, rules, regulations of employment, application for employment, nor anything said during the interview process shall be deemed to constitute the terms of any implied employment contract.