Your information will not be shared or sold.


Applying for Position of:
Name:
Phone Number:
Email:
Address:


City:
State:
ZIP:
Date of Availability:
Desired salary:
Are you a U.S. citizen?:
If no, are you authorized to work in the U.S.?:


PREVIOUS EMPLOYMENT

Have you ever worked for Blair Electric?:
If so, when?:
Have you ever been convicted of a felony?:
If you answered YES, please explain below:


EDUCATION

Name of High School attended:
List beginning and ending years:
Did you graduate?:
Did you attend college?:
If yes, list years:
Did you graduate?:
If yes, what degree?:
Other education?:
Explain (including any certifications earned):
Below, fill in any skills, certifications, or qualifications which you feel would especially fit you for work with Blair Electric

Thank you for applying for a position at Blair Electric using our online application form!

Now that you've finished filling out the application, please review your information to make sure there are no errors. Your Information will not be shared or sold. All information and interviews are strictly confidential. When you are ready, hit "Submit Application." If you need to start over, hit "Reset Application."