Middle Initial

State Zip Code

YES NO

YES NO

YES NO

YES NO

EMPLOYMENT APPLICATION

(Please print or type your answers)

Position(s) Applying for: Today's Date-

Commitment to equal employment opportunity is an integral part of Williams Electric Co., Inc.'s employment practice. Williams Electric Co., Inc. recruits, hires, trains, and promotes in all job classifications without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected class.

Are you authorized to work in the United States?

**By answering, you acknowledge that a description of the activities involved in such a job or occupation has been given and that you have been informed about the requirements of the job for which you are applying.**

City

Telephone Number(s)

Last Name First Name

Have you ever been employed with WEC before?

Email Address

Date available to start work:

Address

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?

Are you able to travel if the job requires it?

If Yes, give date of when (approximately):

Williams Electric Co., Inc. is an Equal Opportunity /Affirmative Action/ADA/Veterans employer with a commitment to diversity.

All applications will be held confidential and the information contained  for up to 18 months.Last updated on: 03/18 1/12

Undergraduate College

1

Zip

2

Zip

3

Zip

PersonalProfessionalIs this a Professional or Personal reference?

Is this a Professional or Personal reference? Professional Personal

(Address) City, State

Is this a Professional or Personal reference? Professional Personal

REFERENCE

(Address) City, State

(Name) Phone #

(Name) Phone #

Years CompletedName, City, State of School Diploma/Degree

Phone #(Name)

(Address) City, State

High School

Other (Specify)

Graduate Professional

Describe any specialized training, apprenticeship or skills

Course of StudyDid you

graduate?

EDUCATION

Williams Electric Co., Inc. is an Equal Opportunity /Affirmative Action/ADA/Veterans employer with a commitment to diversity.

All applications will be held confidential and the information contained  for up to 18 months.Last updated on: 03/18 2/12

From To

From To

From To

From To

Job Title

Supervisor's Name Reason For Leaving

Supervisor's Name Reason For Leaving

Supervisor's Name Reason For Leaving

Employer Dates Employed Address

May we contact?

Employer Dates Employed Address Telephone Number(s)

May we contact?

May we contact?

Employer Dates Employed Address Telephone Number(s)

Employer

Work Performed

Telephone Number(s)

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude any organization which indicates race, color, religion, gender national origin, disabilities or other protected status

EMPLOYMENT EXPERIENCE

AddressDates Employed Telephone Number(s)

Job Title

May we contact?Reason For LeavingSupervisor's Name

Work Performed

Work Performed

Job Title

Job Title

Work Performed

Williams Electric Co., Inc. is an Equal Opportunity /Affirmative Action/ADA/Veterans employer with a commitment to diversity.

All applications will be held confidential and the information contained  for up to 18 months.Last updated on: 03/18 3/12

OTHER QUALIFICATIONS

Please list any special job-related skills and qualifications acquired from employment or other experience.

I understand that all answers given on this application for employment are subject to verification and I authorize Williams Electric Co., Inc. to investigate all statements made herein for the basis of an employment decision. I understand that any misrepresentation or fabrication discovered after my

employment may result in termination of my employment.

I understand that if a job offer is made, I will be required to submit to a post offer/ pre-employment drug screen, motor vehicle record search, and a background check. That my employment is

contingent upon successful completion of a pre-employment drug screen, and that MVR search and background check could affect my eligibility for employment

I understand that, if applicable, I will be subject to a Department of Defense background screening which will supersede any other background check performed and that the results could affect my

eligibility for employment.

APPLICANT'S STATEMENT

Today's Date

ADDITIONAL INFORMATION

HOW DID YOU LEARN ABOUT WILLIAMS ELECTRIC CO., INC

State any additional information you feel may be helpful to us in considering your application.

Signature of Applicant Printed Name

PlplPlease let us know how you learned about the position. If other, fill in how.

OtherEmployment AgencyEmployee ReferralAdvertisement

Williams Electric Co., Inc. is an Equal Opportunity /Affirmative Action/ADA/Veterans employer with a commitment to diversity.

All applications will be held confidential and the information contained  for up to 18 months.Last updated on: 03/18 4/12

Williams Electric Co. is an Equal Opportunity Employer. As required by law, we must record certain information to be made a part of our Affirmative Action Program. Completing this form is voluntary , information provided on this form will be kept confidential and used only in accordance with federal laws and regulations applicable to our equal employment opportunity and affirmative action programs. The information you provide is kept separate from employment applications and any personnel records. Neither the disclosure nor refusal to disclose this information will subject you to any adverse.

The remaining portions of the application will be detached and kept separate from employment applications and any personnel records.

Williams Electric Co., Inc. is an Equal Opportunity /Affirmative Action/ADA/Veterans employer with a commitment to diversity.

All applications will be held confidential and the information contained  for up to 18 months.Last updated on: 03/18 5/12

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Last updated on: 03/18 6/12

*Completing the form is voluntary*Last updated on: 03/18 7/12

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Last updated on: 03/18 8/12

*Completing the form is voluntary*Last updated on: 03/18 9/12

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Last updated on: 03/18 10/12

__________________________ __________________

Form CC-305OMB Control Number 1250-0005

Expires 1/31/2020 Page 1 of 2

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity toqualified people with disabilities i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be usedagainst you in any way. If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every fiveyears. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition thatsubstantially limits a major life activity, or if you have a history or record of such an impairment or medicalcondition.

Disabilities include, but are not limited to:

Blindness Deafness Cancer Diabetes Epilepsy

Autism Cerebral palsy HIV/AIDS Schizophrenia Muscular dystrophy

Bipolar disorder Major depression Multiple sclerosis (MS) Missing limbs or partially missing limbs

Post-traumatic stress disorder (PTSD) Obsessive compulsive disorder Impairments requiring the use of a wheelchair Intellectual disability (previously called mental retardation)

Please check one of the boxes below:

☐ YES, I HAVE A DISABILITY (or previously had a disability)☐ NO, I DON’T HAVE A DISABILITY☐ I DON’T WISH TO ANSWER

Your Name Today’s Date

*Completing the form is voluntary*Last updated on: 03/18 11/12

i

Form CC-305OMB Control Number 1250-0005

Expires 1/31/2020 Page 2 of 2

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities.Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examplesof reasonable accommodation include making a change to the application process or work procedures,providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equalemployment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal ContractCompliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are requiredto respond to a collection of information unless such collection displays a valid OMB control number. Thissurvey should take about 5 minutes to complete.

*Completing the form is voluntary*Last updated on: 03/18 12/12