Brandon, SD

(605) 582-7669

Application for Employment

FULDA ELECTRIC SERVICE, INC.
P.O. BOX 348
BRANDON, SD 57005

We are an Equal Opportunity Employer

We consider applicants for all positions without regard to race, color, religion, creed. gender, national origin, age, disability, marital or veteran status, sexual orientation or any other legally protected status.

Position you wish to apply for and estimated Start Date

How did you learn about us?

Employment Agency

Friend

Relative

Walk-In

Other?

Full Name:

Current Address:

Have you ever filed an application with us before? *

Yes

If Yes, give date:

Are you over 18? *

Yes

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

Have you ever been employed with us before? *

Yes

If Yes, give date:

Are you currently employed? *

Yes

May we contact your present employer?

Yes

On what date would you be available for work? *

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *

Yes

Proof of citizenship or immigration status will be required upon employment.

Are you available to work: *

Full Time

Part Time

Temporary

Are you currently on "lay-off" status and subject to recall? *

Yes

Can you travel if a job requires it? *

Yes

Education

School Name
and Address

Course
of Study

Year
Completed

Diploma /
Degree

Elementary
School

High
School

Undergraduate
College

Graduate
Professional

Other
(specify)

Please indicate any foreign languages you can speak, read and / or write

FLUENT

GOOD

FAIR

SPEAK

READ

WRITE

Describe any specialized training, apprenticeship skills and extra curricular activities

Describe any job-related training received in the United States Military

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

1. Current or Last Job

2. Previous Job

3. Previous Job

4. Previous Job

List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.

Additional Information

Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.

Other Information

State any additional information you feel may be helpful to us in considering your application.

References

First Reference:

Second Reference:

Third Reference:

Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will: employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.