Weeks 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 employment 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 Employment (Month/Year)
    Employer Name:
    Supervisor Name:
    Address:
    City/State/Zip Code:
    Phone #:
    Job Duties:
    Reason for Leaving
    Dates of Employment (Month/Year)
    Employer Name:
    Supervisor Name:
    Address:
    City/State/Zip Code:
    Phone #:
    Job Duties:
    Reason for Leaving
    Dates of Employment (Month/Year)
    Employer Name:
    Supervisor Name:
    Address:
    City/State/Zip Code:
    Phone #:
    Job Duties:
    Reason for Leaving
    Dates of Employment (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 acknowledging 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

    emailEmail-Id

    info@dmscelectrical.com
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