Electric Mapping Technician

Name *

Email *

Phone

Address

Address Line 1

City

State

Zip Code

What Job Are You Applying For?

Can you perform the essential functions of the position for which you are applying? *

Yes
No

If you cannot perform the essential functions of the position, please explain.

(If you have any question as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer this question)

When would you be available to begin work? *

Are you legally eligible to be employed in the United States? *

Yes
No

(Proof of identity and eligibility will be required upon employment)

Are you over the age of 18 years? *

Yes
No

(If no, you may be required to provide authorization to work.)

Do you presently hold a CDL license? *

Yes
No

Which class of CDL license?

Class A
Class B
Class C

Have you ever worked for Kit Carson Electric Cooperative or any of it's subsidiaries or divisions? *

Yes
No

If yes, where? when? Job Title?

Do you have any relatives or friends that work for Kit Carson Electric Cooperative or any of it's subsidiaries or divisions? *

Yes
No

If you do have friends or relatives who work at KCEC, who are they and where do they work?

When are you available to work? *

Days
Nights
Weekends
Full Time

Please choose all that apply.

If you cannot work full time, please explain why.

What days are you available for work? *

Please let us know if there times you cannot work during the days you are available for work.

For example. If you have to pick up your child at school during the weekdays, please let us know what time you could not be in the office. If you leave this section blank, we will assume that you can work regular hours.

Are you presently employed? *

Yes
No

If you are presently employed, why are you considering leaving?

May we contact your current employer?

Yes
No

Phone Number of Your Current Employer

Do you belong to any professional, trade, business, or civic organizations that deal with the position for which you are applying? *

Yes
No

Please explain and list offices held.

(Omit any organization which reflects your race, color, religion, age, sex, sexual orientation, marital status, or disabilities.)

Have you spent more than 30 days since leaving school during which you were not working?

Yes
No

If so, please explain when and why. Please include the dates that you were not working and explain why.

Education

High School Education

Please include: name of school, location of school, course of study, number of years Completed, diploma or degree received

College

Please include: name of school, location of school, course of study, number of years Completed, diploma or degree received

Vocation or Trade School

Please include: name of school, location of school, course of study, number of years Completed, diploma or degree received

Graduate Work

Please include: name of school, location of school, course of study, number of years Completed, diploma or degree received

Have you completed any special courses, seminars and/or training directly related to the position for which you are applying? *

Yes
No

If yes, please describe

List academic honors, extracurricular activities, offices held, etc. In high school or college

(Omit any which reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities.)

Most Recent Employer

You will need to give three employment references - 1 of 3

Name of Employer *

Employers Phone Number *

Supervisors Name and Title *

Date Employment Began *

Date Employment Ended *

Employer's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Describe the Work Performed *

Second Most Recent Employer

You will need to give three employment references - 2 of 3

Name of Second Employer *

Second Employer's Phone Number *

Second Supervisor's Name and Title *

Date Second Employment Began *

Date Second Employment Ended *

Second Employer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Describe the Work You Performed at Your Second Employer *

First Personal Reference

You will need to give three references (not relatives or employers) - 1 of 3

Name of Your First Reference *

Occupation of Your First Reference *

Phone Number of your First Reference *

Address of Your First Reference *

Address Line 1

Address Line 2

City

State

Zip Code

Second Personal Reference

You will need to give three references (not relatives or employers) - 2 of 3

Name of Your Second Reference *

Occupation of Your Second Reference *

Phone Number of Your Second Reference *

Address of Your Second Reference *

Address Line 1

Address Line 2

City

State

Zip Code

Third Personal Reference

You will need to give three references (not relatives or employers) - 3 of 3

Name of Your Third Personal Reference *

Occupation of Your Third Reference *

Phone Number of Your Third Reference *

Address of Your Third Reference *

Address Line 1

Address Line 2

City

State

Zip Code

Upload Your Resume, Read, Agree, and Sign

Resume *

Click or drag a file to this area to upload.

Please upload your resume in one of the following formats: .pdf, .doc, .docx

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristics protected by law.

I understand that failure to reveal any prior employer, or giving false or misleading information by me on any part of this Application for Employment can result in disqualification for employment consideration or, if hired, may be grounds for termination from the company or it's subsidiaries. I understand that if I am hirde, my employment if for no definite time and may be terminated at any time without prior notice.

I agree with the above