Michael Thomas

“Creating solutions,
delivering results on time”

WE ARE A PGE CERTIFIED CONTRACTOR. (PORTLAND GENERAL ELECTRIC)

Careers

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    APPLICANT INFORMATION

    Last Name

    First

    M.I.

    Date

    Street Address

    Apartment/Unit #

    City

    State

    ZIP

    Phone

    E-mail Address

    Date Available

    Social Security No.

    Desired Salary

    Position Applied for

    Are you a citizen of the United States? Yes No

    If no, are you authorized to work in the U.S.? Yes No

    Have you ever worked for this company? Yes No

    If so, when?

    Have you ever been convicted of a felony? Yes No

    If yes, explain

    EDUCATION

    High School

    Address

    FromToDid you graduate?

    Yes No Degree

    College

    Address

    FromToDid you graduate?

    Yes No Degree

    Other

    Address

    FromToDid you graduate?

    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

    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

    Addressfrom 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.

    Signature

    Date

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