Application for Employment

Personal Information

Please fill out this form completely.

How did you hear about us? *

What Department are you looking to hire on with?

What Position are you looking to apply for?

Please Explain *

First Name *

Last Name *

Today's Date * +

Address 1 *

Address 2

City *

State *

Zip Code *

Home Phone

Cell Phone *

Date of Birth * +

Email Address *

Highest Level of education *

Can you provide proof of age? *

Yes

No

Are you legally authorized to work in the United States? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

If yes, please explain.

Availability

If hired, when could you start with us? * +

Employment History

Employer 1

Company Name *

Currently Employed? *

Yes

No

Address

Phone *

Start Date * +

End Date * +

Position *

Salary *

Supervisor/Manager

Reason for Leaving *

May we contact? *

Yes

No

If No, Please Explain *

Employer 2

Company Name *

Address

Phone *

Start Date * +

End Date * +

Position *

Salary *

Supervisor/Manager

Reason for Leaving *

May we contact? *

Yes

No

If No, Please Explain *

Employer 3

Company Name *

Address

Phone *

Start Date * +

End Date * +

Position *

Salary *

Supervisor/Manager

Reason for Leaving *

May we contact? *

Yes

No

If No, Please Explain *

References

Please do not use relatives or previous employers as references.

Reference 1

Name *

Title

Email Address

Phone *

Reference 2

Name *

Title

Email Address

Phone *

Reference 3

Name

Title

Email Address

Phone

Additional Skills

List any additional skills that you would like to mention.

This company is an equal opportunity employer, Sentry Energy Solutions or its entities, does not discriminate in hiring because of an individual’s race, religion, color, gender, sexual orientations, national origin, citizenship or disability. The age discrimination in employment act of 1967 prohibits discrimination based on age for persons 40 or more years of age. Should you become an employee of Sentry Energy Solutions, this application will become part of your permanent record. Please do not include any information regarding race, religion, color, sexual orientation, national origin, citizenship or disability.

If you have an resume, please submit a copy here.

Signature *

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