Haggard Electrical Contractors
Application Form
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Email *
First Name *
MI (Middle Initial)
Last Name *
Nick Name
Date Of Birth *
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DD
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YYYY
Driver’s License (or ID) Number
*
Street Address *
Apartment/Unit #
City *
State *
Zip Code *
Phone Number *
E-mail Address *
Date Available *
MM
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DD
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YYYY
Position Applied for *
If you are applying for an electrical role, Please provide us with your electrical license number.
Desired Hourly Rate *
Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.
Are you eligible to work in the U.S? *
Have you ever worked for this company? *
Do you know anyone that works for this company?
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Who do you know that works here?
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