Personal Information
* Indicates a required field.
*I have read and accept the terms of the HEI Employment Policy Yes     No
*First, Last Name:
*Address:
*City:
	*State:		*Zip:
	*Phone:
	E-mail:
Employment Desired
	*Position:	Electrical		Security
		Telecommunications		General Contracting
	*Start Date:
	*Hourly Rate:
*Are You Employed:		Yes      No
*Applied at HEI Before:		Yes      No
*Employment Type:		Full Time      Part time
Education History
	High School
	Name & Address:
	Years Attended:
	Graduated?:	Yes  No
	College
	Name & Address:
	Years Attended:
	Graduated?:	Yes   No
	Trade, Business or Correspondence School
	Name & Address:
	Years Attended:
	Graduated?:	Yes   No
General Information
Special Training/Skills:
Prof. Licenses,  Certifications:
Employment History
	JOB 1:	List last three employers starting from the most recent.
	Date:	From:   To:
	Employer Name:
	Salary:
	Title/Position:
	Reason left:
	JOB 2:
	Date:	From:   To:
	Employer Name:
	Salary:
	Title/Position:
	Reason for leaving:
	JOB 3:
	Date:	From:   To:
	Employer Name:
	Salary:
	Title/Position:
	Reason for leaving:
Professional References
	Reference 1:
	Name:
	Address:
	Business:
	Years Known:
	Reference 2:
	Name:
	Address:
	Business:
	Years Known:
	Reference 3:
	Name:
	Address:
	Business:
	Years Known:
HEI is an equal opportunity employer and does not discriminate on the basis of race, religion, color, sex, age, national origin or disability.