Request for Application Appointment

All information will be kept in strictest confidence.
We are a drug free workplace and an equal opportunity employer.

First Name

Last Name

Address

City

State

Zip Code

Social Security Number

Home Phone

Cell Phone

E-Mail

Years of Experience

What wage are you looking for?

Are you working now?

Yes No

Do you have your own transportation?

Yes No

Do you have your own tools?

Yes No

JEN Electric accepts applications by appointment only: Email Jen Electric