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Please fill out this employment application as completely as possible. Incomplete applications may result in your application not being considered for employment opportunities with Outdoor Lighting Perspectives.

* Indicates required field

*Name:


First	M.I.	Last

*Address 1:

Address 2:

*City:

*State:

*Zip:

*Phone:

( ) -

Alternate Phone:

( ) -

Email address:

Date Available:

Desired Salary/Pay Rate:

*Position Applied For:

*Are you a citizen of the United States?

Yes No

*Are you authorized to work
in the United States? Yes No

*Have you ever worked for Outdoor Lighting Perspectives?

Yes No

*When/Where?

*Have you ever been convicted of a felony?**

Yes No

*Explain

Please fill in only those that apply.

High School:

City/State:

Enrollment Date:

Completion Date:

Did you graduate?

Yes No

College Name:

City/State:

Enrollment Date:

Completion Date:

Did you graduate?

Yes No

Degree or certificate?

Other such as trade school:

City/State:

Enrollment Date:

Completion Date:

Did you graduate?

Yes No

Degree or certificate?

Please fill in all those that apply with most recent first.

Company:

Phone:

( ) -

Address1:

Address2:

City:

State:

Zip:

Supervisor Name:

Job Title:

Starting Pay Rate:

Ending Pay Rate:

Responsibilities:

First date of employment:

Last date of employment:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes No

Company:

Phone:

( ) -

Address1:

Address2:

City:

State:

Zip:

Supervisor Name:

Job Title:

Starting Pay Rate:

Ending Pay Rate:

Responsibilities:

First date of employment:

Last date of employment:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes No

Military Service: (if applicable)

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain.

	I understand that Outdoor Lighting Perspectives is a drug-free workplace.
	I understand that if hired, Outdoor Lighting Perspectives will check my driving records
	I certify that my answers are true and complete to the best of my knowledge.
	If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
	I understand that if I am considered for employment, Outdoor Lighting Perspectives will perform an employment screening and background check.

**Do not include traffic violations, sealed or expunged records. An answer of yes to this question will NOT automatically disqualify you from consideration for employment. Factors such as the date and seriousness of the offense, and the relationship between the conviction and the duties/responsibilities of the applied for position, will be considered.

See below if you are applying in one of these states:

California: Applicants need not disclose marijuana-related convictions that are more than two-years old or misdemeanor convictions for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed.

Connecticut: You are not required to disclose the existence of any arrest, criminal charge, or conviction, the records of which have been erased under Connecticut law. Criminal records subject to erasure under Connecticut laws are records pertaining to a finding of delinquency or that a child was a member of a family with a service needs, and adjudication as a youthful offender, a criminal charge that has been dismissed or nulled, a criminal charge for which the person has been found not guilty or a conviction for which the person received an absolute pardon. Any person whose criminal records have been erased under Connecticut law shall be deemed to have never been arrested within the meaning of the Connecticut General statues with respect to the proceedings so erased and made so swear under oath.

Massachusetts: Applicants need not disclose first convictions for misdemeanor drunkenness, simple assault, affray, or disturbance of the peace. Applicants need not disclose misdemeanor convictions where the date of the conviction or the period of any incarceration resulting therefrom (whichever is later) occurred 5 or more years prior to the date of this application, unless the applicant was convicted of any offense within the 5 years immediately preceding the date of the application. An applicant for employment with a sealed record on file with the commissioner of probation may answer "no record" with respect to any inquiry here in relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer "no record" with respect to any inquiry here in relative to prior arrests, court appearances, and adjudications in all cases of delinquency or as a child in need of service which did not result in a complaint transferred to the superior court for criminal prosecution.

Washington: Applicants need not disclose a conviction that occurred more than 10 years before the date of this application