"Your comfort is our concern"

Internet Special!

$10 Off
Any Service*

*Expires 05/31/2012.One coupon per household. May not be combined with any other discount or special Energy Savings Agreement.

Don't miss out!

on

Utility Rebates
now up to $1500*


*Qualifications vary. Call for details.
Snohomish Co. (425) 259-6666 North King Co. (425) 771-4381Toll Free: 1-866-496-5757

All fields marked with an * must be completed

Personal Information

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Position and Salary

Eligibility and Availability *Are you able at the time of employment to submit verification of your legal right to work in the U.S?
  (Verification and completetion of form |-9 must be submitted no later that three business days after date of hire.)
Yes
No

*Type of employment desired
Full-time
Part-time


*Are you willing to work overtime?
Yes
No

Security *Within the past ten years, have you been convicted of a felony?
(Do not include convictions that were sealed, eradicated, erased, or expunged; convictions that resulted in referral to a diversion program; or marijuana-related convictions that are more than two (2) yeas old).
Yes
No

If yes. please explain so that individual cirumstances can be considered


Note: Criminal convictions will not automatically disqualify an applicant from a particular job. The Company will consider the nature of the crime, its seriousness, whether the conviction(s) substantially relates to the positions's functions and qualifications, the frequency of convictions, the applicants age at the time of conviction, the time elapsed since the date of conviction or completion of jail sentence, the applicant's entire work and educational history, and employment references and recommendations.

An ex-offender who is denied employment may, upon written request, receive a statement of the reason(s) for denial within 30 days of the applicant's request for such information.
Education, Skills, and Experience
  Name/Location Did you graduate? # of Yrs Completed Degree Earned
High
School
Tech School
College

Please describe any other applicable training:


List any skills you feel qualify you for this position:
Employment History

Employer 1 (most recent)

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*Dates Employed

Salary


*May we contact this employer?
Yes
No

Employer 2

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Dates Employed

Salary


May we contact this employer?
Yes
No


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