Employment QuestionnaireAre you a U.S. Citizen? *Are you a U.S. Citizen?YesNoIf No, are you a legal resident with current documentation?If No, are you a legal resident with current documentation?YesNoDo you have a valid drivers license? *Do you have a valid drivers license?YesNoIf Yes, please list your driver license number, State of Issue, and expiration date:If No, do you have a valid form of identification that is current?If No, do you have a valid form of identification that is current?YesNoDo you have reliable transportation to get you to work everyday? *Do you have reliable transportation to get you to work everyday?YesNoWhat counties are you available to work in? (Select all that apply) *DadeBrowardPalm BeachDo you agree to a background check? *Do you agree to a background check?YesNoDo you have any felonies/arrests that would eliminate you from working in a high security area? (For example – Port, Airport, Schools or Jails) *Do you have any felonies/arrests that would eliminate you from working in a high security area? (For example – Port, Airport, Schools or Jails)YesNoIf yes, please explain.How much time from work have you missed in the past 3 years? If excessive please explain.What date would you be available for an interview?What type of interview would you prefer?What type of interview would you prefer?In person - come into officeVirtual - scheduled Zoom meetingApplication for EmploymentPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameMiddle NameLast NameStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweEmail AddressPhone - Best number for contact:Position Applying For:Salary Desired: *USDDate available to start work: *How many hours can you work weekly?If a job site requires it, can you work nights or weekends?Are you available for full time work? *Are you available for full time work?YesNoTraining/EducationHigh School Attended:College Attended:# of Years Completed:Major/Degree:# of Years Completed:Major/Degree:Business/Trade School:Business/Trade School 2:# of Years Completed:Major/Degree:# of Years Completed:Major/Degree:Work ExperiencePlease list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Please list most recent employer first, then 2nd, and so on.Attach ResumeChoose FileNo file chosenDelete uploaded fileIf your resume includes all information listed in work experience section, please upload your resume as a PDF file and you do not have to complete the work experience section.Please list previous employer # 1 InformationPrevious Employer 1:Previous Employer 1 Address:Previous Employer 1 Direct Supervisor:Previous Employer 1 Phone #:Date employment started:Date employment ended:Starting hourly rate/salary:USDEnding hourly rate/salary:USDReason for leaving (be specific):List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.Please list previous employer # 2 InformationPrevious Employer 2:Previous Employer 2 Address:Previous Employer 2 Direct Supervisor:Previous Employer 2 Phone #:Date employment started:Date employment ended:Starting hourly rate/salary:USDEnding hourly rate/salary:USDReason for leaving (be specific):List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.Please list previous employer # 3 InformationPrevious Employer 3:Previous Employer 3 Address:Previous Employer 3 Direct Supervisor:Previous Employer 3 Phone #:Date employment started:Date employment ended:Starting hourly rate/salary:USDEnding hourly rate/salary:USDReason for leaving (be specific):List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.Please list previous employer # 4 InformationPrevious Employer 4:Previous Employer 4 Address:Previous Employer 4 Direct Supervisor:Previous Employer 4 Phone #:Date employment started:Date employment ended:Starting hourly rate/salary:USDEnding hourly rate/salary:USDReason for leaving (be specific):List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.If you are currently working, may we contact your present employer?If you are currently working, may we contact your present employer?YesNoPlease list 2 references other than relatives or previous employers:Reference # 1 Name:Reference # 1 Position:Reference # 1 Company:Reference # 1 Address:Reference # 1 Phone #:Reference # 2 Name:Reference # 2 Position:Reference # 2 Company:Reference # 2 Address:Reference # 2 Phone #:Job Descriptions - Please review all information and select which classification you fit into:Field Employee Job Descriptions: Green Level - Helper with very little or no experience. Apprentice tools and all personal protective equipment required. Able to identify basic electrical tools and materials, knows safety and hazcom rules and policies. Able to bend EMT, PVC and install basic trim (recep.,switches). Able to assist with pulling wire, use of power puller. SAFETY! SAFETY! SAFETY! Blue Level - Mechanic with all prior requirements. Understands wire splicing for single phase and three phase circuits. Install light fixtures. Rough pipe and wiring. Understands basic circuitry. N.E.C. Code Book Mandatory and have basic knowledge of N.E.C. Electric Benders. Reads blueprints. Layout basic branch rough. Understands electrical symbols. Wire A/C units, thermostats, install disconnects. Assist installation of temporary power. Ability to install Romex, Greenfield, BX Cable, Sealtight. Pull branch circuits with minimum supervision. Working well with others, thinking ahead. Orange Level - Mechanic/Leadman with all prior requirements. Layout own work. Minimal supervision. Branch slab layout. Site Lighting. Taking lead in production and assisting with N.E.C code requirements for all rough installations (conduit, boxes, straps, supports, depths below finish grade, conduit fill). Use of hydraulic benders. Understand branch and feeder protection, circuitry, termination. Make up panels single phase, three phase and transformers. Build complete services. Layout equipment rooms according to shop drawings. Work with bare minimum supervision. Take lead role with other personnel with less classification. Yellow Level - Leadman/foreman with Journeyman License and all prior requirements. Qualified electrician able to install all electrical installations according to N.E.C and local codes. Responsible for crew production and perofrmance. Able to plan material requirements for duties assigned, in advance. Capable of doing the following: fire alarms, A/C Controls, generator systems, switchboards. Take lead position for projects. Review of specifications, plans, submittals, shop drawings. Basic knowledge of management as per Sunshine State Electric. Completely responsible to and for all actions of personnel assigned, their work installed, and progress. Preparing as-built drawings. Select *Job Description for field employees:Green LevelBlue LevelOrange LevelYellow LevelApplication Form WaiverApplication Form Waiver - please review:In exchange for the consideration of my job application by Sunshine State Electric of Florida, I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Sunshine State Electric of Florida, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President/General Manager of the Company. Both the undersigned and Sunshine State Electric of Florida may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for pre employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with routine processing of your employment application, the Company may request from a consumer reporting agency an investigation consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of Ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.Person Completing this form:Enter your name hereI have read and understand the application form waiver:I have read and understand the application form waiver:YesNoDate that this was completed:Equal Opportunity EmployerThis company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in our business.Send Message