Online ApplicationPlease enable JavaScript in your browser to complete this form.Personal InformationName *FirstLastPhone *Email *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you an indentured apprentice? *YesNoWhat year in school are you currently in?Referred by:Previously Employed by an IEC Member?Are you over the age of 18? *YesNoAre you a US Citizen? *YesNo seek: identify of If not, are you eligible for employment under the immigration laws of the United States? *YesNoDo you have a driver's license? *YesNoDL #:DL State:Are there any restrictions?YesNoType of restrictions:Do you have transportation? *YesNoHave you ever been convicted of, or pleaded guilty, no contendere to a criminal violation? *YesNo(Include all military court martials, but do not include an minor traffic violations for which the only penalty imposed was a fine of $250.00 or less.)Explain:Employment DesiredIdentify the position for which you are applying: *Years of experience in the position you seek: *Pay rate you seek: *(monthly, weekly, yearly, hourly, etc.)Identify any benefits or other terms of employment you are seeking: *Are you available to perform all of the duties of the job for which you are applying? *YesNoIf not, please identify an accommodation that would enable you to perform all of the duties:Employment HistoryCurrent EmployerCompany: *Phone: *Current Employer's Address: *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDates Employed From: *to:If currently employed, leave blank and check box to the right.If currently employed, please disregard end date and check below.Currently employedJob Title: *Supervisor: *Duties: *Salary: *(monthly, weekly, yearly, hourly, etc.)Reason for leaving: *Will you resign your current employment if hired by Lakey Electric? *YesNoIf not, or uncertain, please explain in detail:Most Recent EmployerCompany:(Other than current employer)Phone:Address:Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDates Employed From:to:Job Title:Supervisor: Duties:Salary: (monthly, weekly, yearly, hourly, etc.)Reason for leaving: Second Most Recent EmployerCompany:Phone:Address:Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDates Employed From:to:Job Title: Supervisor:Duties:Salary: (monthly, weekly, yearly, hourly, etc.)Reason for leaving: Third Most Recent EmployerCompany:Phone:Address:Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDates Employed From:to:Job Title:Supervisor:Duties:Salary: (monthly, weekly, yearly, hourly, etc.)Reason for leaving:Draft and Military InformationAre you a Veteran or currently serving in the military? *YesNoMilitary Service Dates: From:to:Branch of Service:Highest Rank:Rank at discharge date:Type of discharge:Reserve obligation will end:List duties in the service, including special training:Educational InformationHighest level of education: *School: *Have you ever taken courses in the following subjects:ElectricityPhysicsAlgebraDraftingPlease specify the number of years or credit hours for each course taken::Have you attended an electrical apprenticeship? *YesNoIf so, from:to:What school?Are you a licensed electrician? *YesNoType of License:State:License No.Is License current?YesNoReferencesProvide the names of three persons not related to you whom you have know for at least one year:Name: *Relationship: *Years Acquainted *Phone: *Name: *Relationship: *Years Acquainted *Phone: *Name: *Relationship: *Years Acquainted *Phone: *I understand that my failure to answer any question or provide any information requested on this application form will render my application void and I will not be considered for employment. I further acknowledge that I have been told that my application will be considered active for 30 days, and I must return after the 30-day period to complete another application to be further considered.I acknowlege that Lakey Electric requires a mandatory background check and drug testing.Submit