Job Opportunities — REI Utilities

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Job Application

Last Name

First Name

Middle Name

Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone: Home

(###)

###

####

Phone: Work or Alternative

(###)

###

####

Are you able to work in the U.S.?

Are you at least 18 years or older? (if no you may be required to provide authorization to work)

Have you ever been terminated from employment or asked to resign by an employer?

If yes, please explain:

If the position requires, are you willing to travel up to 95% of the time?

Can you work overtime, including weekends?

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

If no, explain:

Line

Date you can start:

Hourly rate/Salary desired

Position Desired

Are you currently employed?

If so may we inquire of your present employer?

Do you know anyone who works for our company?

If yes, who:

How did you hear about us?

Have you ever worked for this company before?

If yes, please explain

High School Attended

Degree Received:

College or University Attended:

Degree Received:

Major

Minor

Trade, Business or Correspondence School:

Degree Received:

Major

Minor

Line

Company

Start Date

YYYY

End Date

YYYY

Phone

(###)

###

####

Position

Summarize the nature of work performed and job responsibilities

Immediate Supervisor and Title

Reason for leaving:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Line

Company

Start Date

YYYY

End Date

YYYY

Phone

(###)

###

####

Position

Summarize the nature of work performed and job responsibilities

Immediate Supervisor and Title

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Line

Company

Start Date

YYYY

End Date

YYYY

Phone

(###)

###

####

Position

Summarize the nature of work performed and job responsibilities

Immediate Supervisor and Title

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Line

Company

Start Date

YYYY

End Date

YYYY

Phone

(###)

###

####

Position

Summarize the nature of work performed and job responsibilities

Immediate Supervisor

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Line

Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.

Give the name of a person not related to you, whom you have known at least three (3) years.

Address, Phone, Email

Company

Years Acquainted

Give the name of a person not related to you, whom you have known at least three (3) years.

Address, Phone, Email

Company

Years Acquainted

Give the name of a person not related to you, whom you have known at least three (3) years.

Address, Phone, Email

Company

Years Acquainted

In Case of Emergency, Contact

Emergency Phone Number

(###)

###

####

Today's Date

THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE PROVIDED.

YYYY

BY TYPING MY FULL NAME HERE I ELECTRONICALLY SIGN THIS DOCUMENT

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for REI Utility Services, LLC. to hire me. If I am hired, I understand that either REI Utility Services, LLC. or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of REI Utility Services, LLC. has the authority to make any assurance to the contrary. I attest with my signature below that I have given to REI Utility Services, LLC. true and complete information on this application. No requested information has been concealed. I authorize REI Utility Services, LLC. to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

REI Utility Services is an equal opportunity employer and does not discriminate on the basis of race, religion, color national origin, age, sex, gender, sexual orientation, disability, or any other characteristic protected by law. I understand that this application will be given every consideration, but its receipt does not imply that I will be employed. I authorize the firm or its duly authorized representative, to verify all statements contained in this application and to conduct any credit background investigations deemed necessary. In the event of my appointment to a position, I shall conform to firm policies and procedures. Should I accept a position with the firm, I will have the right to terminate my employment at any time for any reason. I agree that the firm reserves the same right. It is understood and agreed that any misrepresentation, omission or false statement by me in this application will be sufficient cause for cancellation of consideration for employment or separation from the firm's service if I have been employed.

BY TYPING YOUR FULL NAME AT THE END OF THE APPLICATION YOU ARE ELECTRONICALLY SIGNING THIS DOCUMENT.

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