Personal Information

How Did You Hear About Us?

Employment History

Education

Certificates/Licenses

Cover Letter/Resume

You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Additional Information

Optional Equal Opportunity Questionnaire

As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.

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 to qualified people with disabilities. 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 used against 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 five years. 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 that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

• Blindness
• Cerebral palsy
• Multiple sclerosis (MS)
• Deafness
• HIV/AIDS
• Missing limbs or partially missing limbs
• Cancer
• Schizophrenia
• Post-traumatic stress disorder (PTSD)
• Diabetes
• Major depression
• Obsessive compulsive disorder
• Epilepsy
• Bipolar disorder
• Impairments requiring the use of a wheelchair
• Autism
• Muscular dystrophy
• Intellectual disability

APPLICANT’S CERTIFICATION

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for termination should I be hired. I authorize any person, organization or company, and government listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information and release them and Lakewood Electric Company from any liability in doing do.

I understand and agree that if I receive a job offer, that offer is contingent upon my content to and satisfactory completion of a drug test. I further understand that if I am employed, I must comply with the Company’s substance abuse policies, which provide for drug and alcohol testing to the extent permitted by applicable laws. If I am extended an offer of employment, it may be conditional upon my successfully passing a pre-employment physical examination. I authorize my medical provider conducting such an examination to release medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I understand that if I am hired, my employment with Lakewood Electric Company will be “at-will,” meaning that either the Company or I can terminate the employment relationship at any time for any reason, with or without notice, but agree as a courtesy, that I will provide two weeks-notice before leaving the Company. I understand that I shall abide by the policies of Lakewood Electric Company.

In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.