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Full Name *

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Email Address *

Daytime Phone *

Home Address *

Employment History - Most Recent *

(Please list 3 most current previous employers and description of duties)

Employment History - Employer 2

(Please list 3 most current previous employers and description of duties)

Employment History - Employer 3

(Please list 3 most current previous employers and description of duties)

Do you have a valid Driver's License? *

Driver Licence Number

ANY tickets or accidents in last 3 years? *

If YES, Please explain

Have you ever been convicted of a FELONY? *

Are you available to work nights & weekends? *

Do you have reliable transportation? *

Do you have your own tools? *

Please list anything you feel is important for us to know how considering your application: *

WHITE SANDS ELECTRIC, INC IS AN EQUAL OPPORTUNITY EMPLOYER, BE ASSURED ANY INFORMATION PROVIDED WILL BE KEPT CONFIDENTIAL & USED SOLEY FOR THE PURPOSE OF HIRING NEW EMPLOYEES. *

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT.

White Sands Electric

333 Massachusetts Ave.
Pensacola, FL 32505
(850) 433-6080

(850) 433-6080

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