employment application for globus electric

Print This Application and Fax to 973-923-9725

License 5108A
GLOBUS ELECTRIC INC.
1440 N. Broad St. Hillside , New Jersey 07205
(973) 923-0400 Since 1945 FAX (973) 923-9725
Our 65^th Year
CAREER OPPORTUNITY APPLICATION

POSITION APPLIED FOR_______________________

DATE AVAILABLE_______________

SALARY DESIRED_______________

NAME_______________________________________ SS#______ - _____ - __________

STREET________________________ CITY___________________ STATE____ ZIP______

TELE. #_____-_____-________BEEPER .#_____-_____-_________

CELL #_____-_____-_______

DRIVERS LICENSE #_______________________EXPIRES______

NAME & TEL. NUMBER TO CALL IN CASE OF EMERGENCY___________________________________

PAST CAREER HISTORY

DATES COMPANY NAME & ADDRESS POSITION HELD RATE OF PAY REASON FOR LEAVING

1._________________________________________________________________________________________ ___________________________________________________________________________________________

2._________________________________________________________________________________________ ___________________________________________________________________________________________

3._________________________________________________________________________________________ ___________________________________________________________________________________________

PLEASE LIST DEGREES, LICENSES, CERTIFICATES, EDUCATION, ABILITY & EXPERIENCE: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS AND FACTS LISTED ABOVE. I REALIZE THAT MISREPRESENTATION IS CAUSE FOR DISMISSAL.

DATE____________ SIGNATURE__________________________

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