Online Application


Name:
   Date:
Address1:
Address2:
City:
 State:  Zip:
Phone:
SSN# 
Email:
How would you describe your Health?

Do you have any physical problems or handicaps?
If yes please explain below:

Have you ever been injured on a job?
If yes please explain below:
Position for which you are applying:

Do you have a car available for work?
Do you have your electrician's hand tools?
Years experience: Industrial    Commercial    Residential

Do you have Rigid Conduit experience?
Do you have Controls experience?
Relative education or trades training:
Hobbies or special interests:
When can you start?
Wages Expected (Per Hour):

Employment History

Company: Phone:
Address:
Employment dates:   From   To
Position Held:

Reason for leaving:

Responsibilities:

Company: Phone:
Address:
Employment dates:   From   To
Position Held:

Reason for leaving:

Responsibilities:

Company: Phone:
Address:
Employment dates:   From   To
Position Held:

Reason for leaving:

Responsibilities:

Shuler Electric Inc.       Industrial and Controls      2400-A Reliance Avenue - Apex, NC 27539      Phone:(919)362-0007       Fax:(919)362-0777