Name * First Name Last Name Email * Phone (###) ### #### Date MM DD YYYY Have you ever been convicted of a Felony? If yes, Add Month/Year and Explanation Any Previous Linework Experience? What Position (s) are you interested in? Class A/ Journeyman Lineman Foreman Apprentice Lineman Groundhand Other (note Below) Expected Pay Are you Available for full time work? Yes No, If not, What hours can you work? Are you available for overtime if asked? Yes No Are You Legally Eligible for employment in the United States? Yes No Available Start Date MM DD YYYY Special Training or Skills * Do you have a current commercial driver's license? Yes No Education #1 Education #2 Work History #1 Work History #2 Work History #3 Thank you! Let’s work together
