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If you are interested in employment with Southern Reliant Electric, Inc., please fill out the form below as accurately as possible. Southern Reliant Electric, Inc. will fake omega watches contact you within 3-4 business days.

Personal Information

 
Name (First):
Name (Last):
Middle Initial:
SSN:
   
Present Address:
City:
State:
Zip Code:
   
Permanent Address:
City:
State:
Zip Code:
   
Phone Number (H):
Phone Number (C):
   
Referred By:
   

Employment Desired

 
Position:
Date You Can Start:
Salary Desired:
Are you employed?
If so, may we inquire of your present employer?
Ever applied to Southern Reliant Electric, Inc before?
If yes, where?
If yes, when?
   

Education History

 
   

High School

 
Name:
Location:
Did you graduate?
Subjects Studied Applicable to this job:
   

College

 
Name:
Location:
Did you graduate?
Subjects Studied Applicable to this job:
   

Trade, Business, or Correspondence School

 
Name:
Location:
Years Attended:
Did you graduate?
Subjects Studied Applicable to this job:
   

General Information

 
Subjects of special study / research work or special training / skills:
   
U.S. Military or Naval Service:
Dates Enlisted:
Rank:
   

Former Employers:

 
Starting with most recent, please list your last five employers (if applicable).
 
   
Name:
Phone:
Contact:
From:
To:
Salary:
Position:
Reason for Leaving:
   
Name:
Phone:
Contact:
From:
To:
Salary:
Position:
Reason for Leaving:
   
Name:
Phone:
Contact:
From:
To:
Salary:
Position:
Reason for Leaving:
   
Name:
Phone:
Contact:
From:
To:
Salary:
Position:
Reason for Leaving:
   
Name:
Phone:
Contact:
From:
To:
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:
Business:
Years Known:
   
Name:
Phone:
Business:
Years Known:
   
Name:
Phone:
Business:
Years Known:
   

Additional Comments

 
Any additional comments?