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BRITE
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About
Projects
Clients
Services
Team
Contact
Employment
Employment
Application
New York
"
*
" indicates required fields
APPLICANT INFORMATION
Last Name
*
First Name
*
M.I.
*
Street Address
*
Apartment/Unit #
*
City
*
State
*
Zip
*
Phone
*
E-mail Address
*
Date Available
*
MM slash DD slash YYYY
Desired Pay
*
Position Applied for
*
Electrician
Superintendent
Apprentice
Have you been referred by a current Brite Employee?
*
Yes
No
Are you a citizen of the United States?
*
Yes
No
Have you ever worked for this company?
*
Yes
No
If yes, who?
*
If no, are you authorized to work in the U.S.?
*
Yes
No
If so, when?
*
EDUCATION
High School
Address
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
Yes
No
Degree
College
Address
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
Yes
No
Degree
Other
Address
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
Yes
No
Degree
REFERENCES
Please list three professional references.
REFERENCE ONE
Full Name
Relationship
Company
Phone Number
Address
REFERENCE TWO
Full Name
Relationship
Company
Phone Number
Address
REFERENCE THREE
Full Name
Relationship
Company
Phone Number
Address
PREVIOUS EMPLOYMENT
EMPLOYMENT ONE
Company
Phone Number
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference ?
Yes
No
EMPLOYMENT TWO
Company
Phone Number
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference ?
Yes
No
EMPLOYMENT THREE
Company
Phone Number
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference ?
Yes
No
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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