Esys The Energy Control Company logo
Central California
Contr Lic# 662541
4520 Stine Rd. Ste. 7
Bakersfield, CA 93313
Bus: (661) 833-1902
Fax: (661) 833-4008
http://www.esys.us

 

Application For Employment

   

Complete this application carefully and completely. All responses will be used to determine your qualifications. Omissions may hinder or delay full consideration. Misstatements of material facts may create grounds for not being hired or dismissal after being hired. A résumé may also be submitted, but it is no substitution for the information required on this form.

For your privacy, information collected herein is passed directly to our Human Resources department and not stored on our Web server. Esys® will not spam nor sell your information.

   

Personal Data

Address

Contact Information

Emergency Contact Information

Referral Information


Employment Data

   
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Education Data

The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.

Other Education

College or University courses, business or trade schools, correspondence courses, work training programs.




Subjects of special study/research:

General Data

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accomodation?
Note: We comply with the ADA and consider reasonable accomodation measures that may be necessary for eligible applicants/employees to perform essential functions.
Hire may be subject to passing a medical examination and/or skill and agility tests.
If not, please explain:

U.S. Military Service

Please select all branches in which you have served





Foreign Languages









Driver’s License

Do you have a valid US driver’s license?

Work History

List all jobs you have held in the past ten years, starting with your present employer. Include active military service if applicable. Account for any gaps in employment.

 
 
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**All information will be verified.

References

Provide the names of at least three persons, not related, whom you have known a minimum of one year.
    Phone:     Years Known: 

    Phone:     Years Known: 

    Phone:     Years Known: 

    Phone:     Years Known: 

Applicant Authorization and Consent

I understand that neither this application nor any communication by Esys® The Energy Control Company™ representative is intended to create or creates a contract for employment. I understand that employment with Esys® may be terminated at any time at the option of either Esys® or myself.

I authorize the release of information to Esys® from any sources necessary to confirm my eligibility for hire including, but not limited to, the following:

  1. Schools regarding academic records
  2. Past and present employers regarding employment
  3. Law Enforcement agencies regarding criminal history record
  4. The Department of Motor Vehicles regarding driving record
  5. Direct Safety Solutions regarding pre-employment physical examination and/or drug testing (after accepting a conditional offer of employment)
  6. Credit checks, personal references, and listed or unlisted membership affiliations.

I release and hold harmless Esys® and any sources that provide information to Esys® from any and all liability whatsoever resulting from such information. (Note: California state law provides immunity from civil liability to any employer who acts in good faith to furnish such information.)

I understand and agree that as a further condition of employment, I will submit, at no personal expense, to an examination by a physician selected at Esys®, prior to being employed, and/or at any time job requirements dictate, and at any time designated by Esys® under its Drug-and-Alcohol Free Workplace Policy.

I certify that all information I have provided in this application is complete and true to the best of my knowledge. I understand that, if I am hired by Esys®, the discovery of any misrepresentation or the omission of facts in this application will be cause for my immediate dismissal.





You must check both boxes under Applicant Authorization and Consent and provide a valid e-signature in order to submit this application.