Day’s Without an OSHA Recordable Injury

Application For Employment

DMSC Electical Contractors, LLC

P.O Box 3106
Summerville, SC 29484
Office - (843) 879-3500

PERSONAL INFORMATION

Social Security Number

Are you a US Citizen?

YesNo
Have you ever been convicted of a felony?

If selected for employement are you willing to submit to a pre-employment drug screening test?

YesNo

EDUCATION

School Name / College / Trade School Location Years Attended Diploma / Degree

GENERAL WORK INFORMATION

1. Position you are applying for:

2. Desired Hourly Rate: $

3. If you are offered employment when would you be available to start work?

4. Are you at least 18 years old?

YesNo
5. Do you have transportation?

YesNo
(If No, please explain how you will you get to work?)

6. Are you willing to work any shift, including nights and weekends?

YesNo
(If No, please explain limitations:)

7. If applicable, are you available to work overtime?

YesNo

8. Are you able to perform the essential functions of the job you are applying for?

YesNo

(If No, please explain limitations:)

WORK HISTORY

List your current or most recent employment first, please list all jobs (including self employment) which you have held.
Employer Name:

Supervisor Name:

Address:

City/State/Zip Code:

Phone #:

Job Duties:

Reason for Leaving

Dates of Employement (Month/Year)

Employer Name:

Supervisor Name:

Address:

City/State/Zip Code:

Phone #:

Job Duties:

Reason for Leaving

Dates of Employement (Month/Year)

Employer Name:

Supervisor Name:

Address:

City/State/Zip Code:

Phone #:

Job Duties:

Reason for Leaving

Dates of Employement (Month/Year)

Employer Name:

Supervisor Name:

Address:

City/State/Zip Code:

Phone #:

Job Duties:

Reason for Leaving

Dates of Employement (Month/Year)

GAPS IN WORK HISTORY

Please list and explain any gaps in employment history.

WORK REFERENCES

NAME TITLE COMPANY PHONE

PERSONAL REFERENCES

NAME RELATIONSHIP YEARS KNOWN PHONE

APPLICANTS SKILLS

List any skills that may be useful for the position you are seeking. Enter the number of years of experience, and select the number that corresponds to your ability for each skill.(1 represents limited ability and 5 represents exceptional ability. )
WORK SKILLS AND ABILTITIES YEARS OF EXPERIENCE ABILITY RATING

ACKNOWLEDGEMENT AND AUTHORIZATION

Please review, initial boxes acknowleging your consent, sign and date the application.
I certify that all of the answers given here are true to the best of my knowledge.
I authorize verification of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.


FOR PROJECT VISUALS VISIT OUR GALLERY, IF YOU HAVE A SPECIFIC QUESTIONS CONTACT US TODAY.

Gallery Contact Us

addressAddress

237 Old Summerville Road, Suite D,
Summerville, SC 29486

phonePhone

843-879-3500