71 Old Mill Bottom Rd N, Suite 101  Annapolis, MD 21409 Ph-410-349-2001 Fx-410-349-2063 Thank you for your interest in becoming part of the dynamic team of Energy Work Field Service (EWFS) and it affiliated companies. EWFS values the talents and abilities of our employees and seeks to foster an environment everyone can thrive in. Our field service workers will be provided with instruction and certifications in wind turbine maintenance and safety standards. Successful candidates should have strong mechanical or electrical skills with good basic math and communication skills. In addition, candidates should not fear heights as it will be necessary to climb towers upwards or 300 feet. STEP 1Review our minimum requirements for all applicants, and check those that apply to you :
Travel 100 % of work schedule
Climb up to and work at heights of up to 300 feet
Lift 80 pounds on a routine basis
Perform repetitive work for extended periods of time
Work in dirty and oily conditions
Start at entry-level unless experienced in wind turbine maintenance
Work as a member of a team, not independently
Work in extreme weather conditions
Speak English clear enough to communicate well with other team members
High School diploma or equivalent
Current valid un-restricted drivers license
Consent to a background check
Consent to drug testing procedures
STEP 2If you satisfy all the requirements outlined above, complete and submit the application on the pages that follow. All questions must be answered completely. Any sections of the application that are incomplete may prevent application from being reviewed. Thank you again for you interest in our company. Page 1 of 4
APPLICATION FOR EMPLOYMENT
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Instructions- Clearly ‘print’ or type all information requested. Sections left incomplete may prevent application for being reviewed. Signature is required on last page of application.
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APPLICANT INFORMATION
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DATE ____/_____/_____
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Name _______________________, _____________________ ___________________ _____________
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Last First Middle Maiden
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Current address
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Number Street City State Zip
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How long have you lived at this residence?___yrs ___mos
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Social Security No. _______ – _____ – _________
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Home Phone ( ) ________________________ E-mail address__________________________
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Cell Phone ( )_________________________
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Position applied for
Salary desired $ ______ per hour
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Have you aver worked for our company before? ______
If so, When ? ___/___/______
Who was your supervisor? _______________________
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Employment desired Full Time Part Time -specify days and hours available _____________________
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Are you willing to work overtime? Yes ____No ____
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Are you willing to work nights? Yes____ No____
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Date available to start _____/_____/_____
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EDUCATIONAL BACKGROUND
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Level
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Name of School
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Address of School
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Circle the highest grade/years completed
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MAJOR & DEGREE
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High School
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9 10 11 12 GED
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College
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1 2 3 4 5+
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Business/Trade/
Vocational School(s)
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DRIVER INFORMATION
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Driver’s license
number ______________________ State of issue _______ Operator Commercial (CDL)
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Expiration date ___/___/______
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Have you been charged in an accident, during the past three years?
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If yes, explain__________________________
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Have you had any moving violations during the past three years?
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If yes, explain__________________________
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Page 2 of 4
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PROFICIENCIES
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Check the boxes of the items that you are comfortable using-
Computer/ Laptop E-Mail Internet Searches Copier Fax Machine Scanner
List computer software you have worked with i.e. excel, word, powerpoint, publisher, etc :
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Field Service Positions only, answer the following:
List all power tools and heavy equipment you are qualified to operate:
________________________________________________________________________________________
List all safety certificates earned:
_________________________________________________________________________________________
List all awards or special recognition received:
_________________________________________________________________________________________
Use the space below to summarize any additional skills or qualifications you have for the specific position you are applying for:
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REFERENCES
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List (2) personal references (not previous employers or relatives) who know you well, and that we may contact
Name
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Occupation
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Address
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Phone number(s)
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# of years known
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MILITARY BACKGOUND
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Have you served in the United States Armed Forces? Yes No
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Specialty ___________________________ Date Entered ____/____/____ Discharge Date ____/____/____
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Are you currently in the National Guard or Reserves? Yes No
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PERSONAL BACKGROUND
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Have you ever been convicted or pleaded guilty to a felony? No Yes
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If yes, please describe including the nature of the offense(s) and your rehabilitation since the conviction(s)
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Page 3 of 4
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Work Experience
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Please list your work experience beginning with your most recent job held. Attach additional sheets if necessary.
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Company Name:
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Company Address:
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From ___/___/____ To ___/___/____
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Position Held
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Job Duties
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Wages-
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Starting wage ___/hr Ending wage___/hr
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Reason for Leaving:
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Immediate Supervisor’s name
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May we contact them?
Yes No
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Supervisor’s phone number
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Company Name:
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Company Address:
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From ___/___/____ To ___/___/____
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Position Held
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Job Duties
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Wages-
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Starting wage ___/hr Ending wage___/hr
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Reason for Leaving:
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Immediate Supervisor’s name
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May we contact them?
Yes No
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Supervisor’s phone number
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Company Name:
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Company Address:
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From ___/___/____ To ___/___/____
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Position Held
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Job Duties
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Wages-
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Starting wage ___/hr Ending wage___/hr
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Reason for Leaving:
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Immediate Supervisor’s name
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May we contact them?
Yes No
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Supervisor’s phone number
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Company Name:
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Company Address:
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From ___/___/____ To ___/___/____
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Position Held
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Job Duties
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Wages-
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Starting wage ___/hr Ending wage___/hr
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Reason for Leaving:
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Immediate Supervisor’s name
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May we contact them?
Yes No
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Supervisor’s phone number
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Did you complete this application yourself Yes No If not, who did?______________________
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PAGE 4 OF 4
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AGREEMENT
READ CAREFULLY BEFORE SIGNING
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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.
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I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with EnergyWorks creates an actual or implied contract of employment. I understand that, if I accept employment with EnergyWorks, it will be on an at-will basis. This means that either EnergyWorks or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.
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I agree to submit to drug and alcohol testing, if requested by EnergyWorks. I release EnergyWorks, and its employees, other persons or companies, from any and all liability arising out of or related in any way to such testing.
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I authorize EnergyWorks to investigate information concerning my education, employment experiences and other aspects of my background relevant to my proposed employment. I release EnergyWorks and its employees from any liability arising from such investigation.
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We are an Equal Employment Opportunity employer. We will not discriminate on any legally recognized basis including, but not limited to, race, age, color, religion, sex, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state or local law.
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Signature of applicant: __________________________________________ Date: ___________________
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