First Name * Last Name * Email * Telephone Number * Alternate number Address Line1 * Address Line2 City *
State * Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Minor Outlying Islands Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Position for which you are applying * Other positions you are interested in Date available for work * Expected Salary $ * Per *
Schedule you are available to work *
Are you legally eligible to work in the United States? *
Are you presently employed? * How were you referred to our company? *
Do you have any relatives employed by our company? *
Have you ever applied for a position with our company? *
Are you willing to submit to a post-offer drug/alcohol screen and physical exam (where applicable), as a condition of employment with Energy Management Corporation? * Please list any professional skills and/or certification information that may assist us in our selection process All applications that have been completed in full will be reviewed. If your skill set matches the qualifications required for the position you've applied for, you will be contacted by a member of our team. Completion of this data is voluntary and will not affect your opportunity for employment or terms or conditions of employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by Human Resources Department or a member of the Executive Team.
Gender * Female Male Other Prefer Not to Answer
Hispanic or Latino? * Yes No I do not wish to answer Race / Ethnicity * We are an equal opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province, or Local status unrelated to the performance of the work involved. Please check any definitions that apply to you.
Voluntary Self-Identification of Disability * Yes I have a disability or have had one in the past No I do not have a disability and have not had one in the past I do not want to answer
Protected Veteran Status * Disabled Veteran: (i) a veteran of the U.S. military; ground; naval; or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or (ii) a person who was discharged or released from active duty because of a service/connected disability. Armed Forces Service Medal Veteran: a veteran who; while serving on active duty in the U.S. military; ground; naval or air service; participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. Recently Separated Veteran: a veteran during the three-year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military; ground; naval or air service from when you were hired. Special Disabled Veteran: (i) a veteran of the U.S. military; ground; naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans’ Affairs for a disability (A) rated at 30 percent or more; or (B) rated at 10 or 20 percent in the case of a veteran who has been determined under Section 38 U.S.C. 3106 to have a serious employment handicap or (ii) a person who was discharged or released from active duty because of a service-connected disability. Veteran of the Vietnam-era: a person who: (i) served on active duty in the U.S. military ground; naval or air service for a period of more than 180 days; and who was discharged or released there from with other than a dishonorable discharge; if any part of such active duty was performed: (A) in the Republic of Vietnam between February 28; 1961; and May 7; 1975; or (B) between August 5; 1964; and May 7; 1975; in all other cases; or (ii) was discharged or released from active duty in the U.S. military; ground; naval or air service for a service-connected disability if any part of such active duty was performed (A) in the Republic of Vietnam between February 28; 1961; and May 7; 1975; or (B) between August 5; 1964; and May 7; 1975; in any other location. Other Protected Veterans: veterans who served on active duty in the U.S. military; ground; naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized. I am not a protected veteran I do not wish to self identify Terms and Signature Terms * Applicant Signature (type name to sign) *