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Flanders Employees

Please be sure to fill out each field. Upon submitting, you will be Emailed by Flanders Electric Human Resources Department with further instruction.

Note: Due to inherent dangers present in this type of work we require that all applicants be at least 18 years of age.

First Name:
Middle Initial:
Last Name:
Address:
City:
State:
Zip Code:
Preferred Phone #:
Email Address:
Position of Interest:
Location:

Please select your shift of choice, followed by your second. NOTE: Flanders Electric cannot guarantee shift selections for New Hires.

Preferred Shift:
Second Choice:
Referred by:
Explain Source:
Date Available:

What is the highest level of education that you have completed to date?

Education Completed:

If you have a college degree or other formal training certificates please list them.

Degree:

Please list your past three employers along with dates of employment, position held, and your reason for leaving. Note: DOT requires that employment for at least 3 years and/or commercial driving experience for the past 10 years be shown.

Previous Employers:

Employer Name:From:To: Position:Duties:Reason For Leaving:

Please describe in your own words why you are a good candidate for the position you are applying for. List any relevant special skills and experience that may set you apart from other applicants.

Skills/Experience:

Do you have a current Class A (CDL) Commercial Driver License? (Mandatory for driving positions) If you answer Yes, you must fill out the Driving Experience and Qualifications fields.

Yes No
Drivers

Please fill out the following sections:

Driving Experience and Qualifications

Driver Licenses

State:License Number:Type:Expiration Date:

Driving Experience

Class of Equipment:Type of Equipment: (Van, Tank, Flat, Etc.)From:To:Approx. Number of Miles Driven: (Total)
Straight truck
Tractor and Semi-Trailer
Tractor-Two Trailer
Other

Accident Record For The Past 3 Years

Date:Nature of Accident: (Head-On, Rear-End, Etc.)Fatalities:Injuries:

Traffic Convictions And Forfeitures For The Past 3 Years
(Other Than Parking Violations)

State:Date:Charge:Penalty:

Have You Ever Been Denied A License, Permit, Or Privileges To Operate A Motor Vehicle, Or Have You Ever Had Your License, Permit, Or Privilages Suspended Or Revoked?

Yes No

If The Answer is Yes, Please Give Details Below.

Statement:

Applicant Agreement

By submitting this information, I certify that it is true and complete to the best of my knowledge. If any false information or misrepresentaions are discovered, my application may be rejected and, if I have already been hired at the time of discovery, I may be terminated. Any and all information given by me may be verified by Flanders Electric for accuracy. I understand that as a condition of employment I will be asked to take a physical examination and drug/alcohol screen and if I test positive I will not be considered for employment. I also understand and agree that, if hired, my employment is for no definite period of time, is not pursuant to any contract, either verbal or written, and that I will be an at-will employee.

Yes

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