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We are currently seeking qualified Servicemen to join our company.

Fill out the employment application, and send.

United Emergency Services Employment Application

Application Information
 
Full Name:
Last
First
M.I.

Date
         
Address: Street Address
Apartment/Unit #
     
 
City
State
ZIP Code
       
Phone: E-Mail Address:
       
Position Applied for:
   
Date Available: Social Security No.: Desired Salary: $
           
Are you a U.S. Citizen? yes no If no, are you autohorized to work in the U.S. yes no
       
Years as an electrician?
   
Have you ever been convicted of a felony? yes no Able to work evenings, overnights & weekends? yes no
       
If yes, explain:
   
Education
 
High School: Address:
       
From: To: Did you graduate? yes no Degree:
               
College: Address:
       
From: To: Did you graduate? yes no Degree:
               
Other: Address:
       
From: To: Did you graduate Other? yes no Degree:
               
References
  *Please list three professional references
   
Full Name: Relationship:
       
Company: Phone:
       
Address:
   
Full Name: Relationship:
       
Company: Phone:
       
Address:
   
Full Name: Relationship:
       
Company: Phone:
       
Address:
   
Previous Employment
 
Company: Phone:
       
Address: Supervisor:
       
Job Title: Starting Salary: Ending Salary:
           
Responsibilities:
   
From: To: Reason for Leaving:
           
May we contact your previous supervisor for a reference? yes no
   
Company: Phone:
       
Address: Supervisor:
       
Job Title: Starting Salary: Ending Salary:
           
Responsibilities:
   
From: To: Reason for Leaving:
           
May we contact your previous supervisor for a reference? yes no
   
Company: Phone:
       
Address: Supervisor:
       
Job Title: Starting Salary: Ending Salary:
           
Responsibilities:
   
From: To: Reason for Leaving:
           
May we contact your previous supervisor for a reference? yes no
   
Military Service
 
Branch: From: To:
           
Rank at Discharge: Type of Discharge:
       
If other than honorable, explain:
   
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.
 
Online Signature: Date:

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Phone: 1-800-403-3887
Fax: 1-847-620-0473

info@unitedemergencyservices.com

United Emergency Services

Chicago Northern Illinois Service Area

24 Hour Emergency Services

 
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