Since 1983
Meeker Office- 970-878-4144
Fax- 970-878-5767
563 E. Market Street Meeker, CO 81641

24 hours/7 days a week service
Rangely Office- 970-675-8368
Fax- 970-675-8050
221 E. Main Street Rangely, CO 81648

License No.1959

Ducey's Electric Online Job Application Form


PERSONAL INFORMATION:
NAME
 
First
Last
Middle
  Male Female
Email Address Phone No.
 
MARRIED SINGLE WIDOWED DIVORCED SEPARATED

CITIZEN OF USA

EMPLOYMENT DESIRED:
EDUCATION:
EDUCATION NAME AND LOCATION OF SCHOOL YEARS ATTENDED DATE GRADUATED
SUBJECTS STUDIED
GRAMMAR SCHOOL
HIGH SCHOOL
COLLEGE
TRADE, BUSINESS, OR CORRESPONDENCE SCHOOL
SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK
WHAT FOREIGN LANGUAGES DO YOU SPEAK/READ/WRITE FLUENTLY? LANGUAGE
SPEAK
READ
WRITE
U.S. MILITARY OR NAVAL SERVICE RANK
ACTIVITIES OTHER THAN RELIGIOUS
(Civic, Athletic, fraternal, Etc.)

Exclude organizations, the name or character of which indicates the race, creed, color or national origin of its members.
FORMER EMPLOYERS: (list below last four employers, starting with last one first)
DATE MONTH AND YEAR NAME AND ADDRESS OF EMPLOYER SALARY POSITION REASON FOR LEAVING
REFERENCES: Give below the names of three persons not related to you, whom you have known at least one year.
NAME PHONE NUMBER BUSINESS YEARS ACQUAINTED
PHYSICAL RECORD:
 
I authorize investigation of all statements contained in the application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
    © 2013 Ducey's Electric
Website developed and maintained by RAM Designs LLC