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Pre-Application
Please complete this for accurately and honestly. If your skills and experience match our need, we will contact you.
Since we are a construction contractor, persons under 18 cannot be considered for employment in the field. We test for drugs and alcohol, both pre-employment,
post accident, and randomly according to the law.
Date:
Name:
Contact Phone #:
(Last, First M.I.)
E-Mail:
Available Start Date:
If Referred, by whom?
Wage/Salary Desired:
Foreman Electrician
Position Applied For:
Please indicate Apprenticeship Completion or Journeyman Certification, if any:
Last Three Employers
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What did you do?
Time Employed
Drivers License
Class A
Class B
Class C
Class D
None
Limited
Moderate
Heavy
Good
Excellent
Drivers License Classification
Project Type Experience
New Commercial Construction
Tenant Improvement / Remodel
Hospitals / Healthcare
Manufacturing Facilities
Data Centers
Residential
Service Calls
Underground / Site Work
Airfield Lighting
Intel
Self Assessment
Electrical Experience
None
Limited
Energized Electrical Work
Switchgear
Distribution & Branch Circuit Panels
Uninterruptible Power Supply
Transformer (Dry)
Automatic Transfer Switch
Disconnect Switch
Motor Control Centers
An Equal Opportunity Employer
Electrical Experience (Cont)
None
Limited
Motor Starters
Emergency Back-up Generators
Variable Frequency Drive Controllers
AC Motors
DC Motors
Buss Duct
Circuit Breakers - 600A & Up
Circuit Breakers - Under 600A
Relays (Protective)
Lighting Contactors, Timers, Photo Cells
EMT Conduit
GRC Conduit
Equipment Grounding & Bonding
Earth Grounding Systems
Lightning Protection
Special Systems
Fire Alarm
Security Systems
Emergency Lighting
Voice / Data
Audio / Video
CATV / CCTV
Intercom
Underground & Site Work
Excavation
Duct Bank
Backfill & Compaction
Shoring
Manholes & Pullboxes
Confined Space
Traffic Control
Grade Stake Reading & Layout
Blue Stake Utility Locating
Slurry Backfill (Chute Operation)
Concrete Flat Work (Pads)
Rebar Cutting & Placement
Vertical Forming
Equipment Operation
Trailer Towing
Backhoe
Track Excavator
Trencher
Skidsteer
Bucket Truck
Boom Lift
Scissor Lift
Forklift (Warehouse)
Forklift (All Terrain / Reach)
Pnuematic Tools (including Jackhammer)
An Equal Opportunity Employer
Good
Excellent
Field Leadership
None
Limited
Good
Excellent
Daily Coordination with General Contractor
Interpretation of Plans and Specs:
Electrical
Architectural
Structural
Civil
NEC Knowledge
Subcontractor Work Activity Coordination
Prefab Coordination
Permitting & Inspections
BIM Layout
Computer Skills
Critical Path Method / Scheduling
Daily Reports
Safety Certifications
First Aid
OSHA 10
List others:
SSTA
OSHA 30
CPR
OSHA 500
Corbins Electric performs work on secure work sites requiring extensive background checks. To your knowledge, would you be able to successfully pass a
background screening?
A conviction will not necessarily disqualify an applicant for employment
Yes
No
Please indicate your ability to work out of town during the work week:
Cannot work out of town overnight
Can work out of town overnight
Please email this form to [email protected] or fax to (602) 225-0103
An Equal Opportunity Employer