Highest education received.  

Telephone Number, Company Name, Start Date, Finish Date, Reason for Leaving.  Starting Salary.  Final Salary.

Telephone Number, Company Name, Start Date, Finish Date, Reason for Leaving.  Starting Salary.  Final Salary.

Telephone Number, Company Name, Start Date, Finish Date, Reason for Leaving.  Starting Salary.  Final Salary.

List any and all information that may set you apart from other applicants.  Skills, extra-curricular activities, specialized training.

I certify that my answers are true and complete to the best of my knowledge.  I authorize Investigation of all statements contained in this application for employment decision. This application for employment shall be considered active for a period of time not to exceed 120 days.  Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.  I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause.  It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.  If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.  I understand, also, that I am required to abide by all rules and regulations of the employer.

I hereby consent to submit to urinalysis and or other test as shall be determined by Moye Electric in the selection process of applicants for employment, for the purpose of determining the drug content thereof.  I agree that the medical facility of our choosing shall collect specimens for this test and may test them or forward them to a testing laboratory designed by the company for analysis.  I further agree to hereby authorize the release of the result of said test to Moye Electric.  I understand that it is the current use of illegal drugs that would prohibit me from being employed at Moye Electric.  I further agree to hold harmless Moye Electric and it's agents, including testing clinic, from any liability arising in whole or part, from collections of specimens, testing, and use of the information from said testing in connection with Moye Electric's consideration of my application of employment.