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Employment Application

Please contact United Electric Human Resources if you require accommodation for the application or interview.

Have you ever worked for United Electric?
Are you 18 years of age or older?
Are you legally authorized to work in the United States? If hired, you will be required to provide proof of eligibility to work in the United States, as required by law.
Employment Desired
Are you able to perform the essential duties of the position for which you are applying for with or without reasonable accomodations?

High School

Number of Years Completed


Number of Years Completed

Trade School

Number of Years Completed

Licenses and Certifications

Current CPR Training
Current Electrical License


Work Experience

May we contact your current employer?
May we contact this employer for a reference?
May we contact this employer for a reference?
Did you complete this application by yourself?


I understand that any offer of employment may be contingent upon satisfactory completion and passing of pre-employment drug screening.

I certify that all the information given in this application is true, accurate, and complete to the best of my knowledge. I understand that false information given in my application may lead to my release if this application leads to employment. I authorize the references listed above to give any information that may be pertinent to my potential job at United Electric. I authorize the verification of any or all of the information listed above. I release all parties from all liability for anything that may result.

By signing and submitting this form I agree to the terms and conditions listed above.

United Electric is an equal opportunity employer and will consider all applicants for all positions equally with out regard to race, religion, sex, age, marital status, or any other consideration which may be considered unlawful.

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