Job Application

NOTICE TO APPLICANTS

GENERAL INFORMATION

We are an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, sex, religion, national origin, age, disability, handicap, marital status, or any other basis protected by law. The opportunity for employment will be based solely upon your qualifications and ability to perform the job for which you are being considered. We also reasonably accommodate individuals with disabilities, handicaps, and bona fide religious beliefs.

We comply with the Americans With Disabilities Act of 1990. During the interview process, you may be asked questions concerning your ability to perform job-related functions. You may also be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. Upon request, all entering employees in the same job category will be required to complete the same medical questionnaire and/or examination. All medical information will be kept in confidential files.

We also maintain a Drug-Free Workplace in accordance with all applicable State and Federal regulations, copies of which, together with the employer's Drug-Free Workplace Policy are available for inspection at all reasonable times by applicants or employees upon request.

PLEASE READ AND INITIAL STATEMENTS BELOW

APPLICATION FOR EMPLOYMENT

PLEASE COMPLETE PAGES 1-4.

Days/hours available to work

Education

Please list two references other than relatives or previous employers.

MILITARY

WORK EXPERIENCE

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary.

I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Eau Gallie Electric, Inc creates an actual or implied contract of employment. I understand that, if I accept employment with Eau Gallie Electric, Inc, it will be on an at-will basis. This means that either Eau Gallie Electric, Inc or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.

I agree to submit to drug and alcohol testing, if requested by Eau Gallie Electric, Inc. I release Eau Gallie Electric, Inc, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.

I authorize Eau Gallie Electric, Inc to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release Eau Gallie Electric, Inc and its employees from all liability arising from such investigation.