Careers | Dark Energy Arizona

Application

Employment Application

Fields marked * are required. Complete the rest as it applies to you.

Personal Information

Name *

Phone Number

Email Address *

Address

City

State

Zip

Employment Information

Citizenship / Work Status

US Citizen Green Card Holder US Work Permit / Visa

Current Employer

Years of Work Experience

Desired Compensation

Desired Start Date

Education

High School

School Name

Location

# of Years Completed

Degree / Diploma

College

School Name

Location

# of Years Completed

Degree

Criminal History

Have you ever been convicted of a felony or misdemeanor (except any minor traffic violations)?

Yes No

If yes, please explain (you may attach any relevant documentation below)

Driver’s License Information

Do you have a valid unrestricted Driver’s License?

Yes No

Do you have reliable transportation to work? (please be specific)

Driver’s License Number

State of Issue

List any violations and/or accidents from the last 3 years

Military Service

Have you ever been in the armed forces?

Yes No

Are you currently a member of the National Guard or Reserves?

Yes No

Previous Work Experience

List the jobs you held, duties performed, skills used or learned, and any advancements or promotions while you worked at each company.

Employer 1

Name of Employer

Address

Phone

Name of Supervisor

Job Title

Employed From

Employed To

Pay / Salary

Jobs held, duties performed, skills used or learned, advancements or promotions

Employer 2

Name of Employer

Address

Phone

Name of Supervisor

Job Title

Employed From

Employed To

Pay / Salary

Jobs held, duties performed, skills used or learned, advancements or promotions

Employer 3

Name of Employer

Address

Phone

Name of Supervisor

Job Title

Employed From

Employed To

Pay / Salary

Jobs held, duties performed, skills used or learned, advancements or promotions

Employer 4

Name of Employer

Address

Phone

Name of Supervisor

Job Title

Employed From

Employed To

Pay / Salary

Jobs held, duties performed, skills used or learned, advancements or promotions

Professional References

Reference 1

Name

Position

Email Address

Phone Number

Reference 2

Name

Position

Email Address

Phone Number

Reference 3

Name

Position

Email Address

Phone Number

Skills

Please list any specific industry skills you consider yourself to be very knowledgeable about

Resume & Attachments

Attach a resume, references, or any supporting documents (optional)

PDF, JPG or PNG. You can attach more than one file.