Employment

Name*
First Last Suffix
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Have you worked at Lamp Incorporated before?*
- Yes
- No
Email*
Phone*
Referred By
Education and Experience
Please select your highest level of experience.*
If selected “Ready to Learn,” please choose from the following trades to learn.
Please enter the number of years in position.
High School Education (Level of Schooling Completed and Graduation Date)*
Higher Education – College, Trade School, Military, Other (Level of schooling and graduation date.)*
Higher Education
Higher Education
Do you belong to a Union?*
- Yes
- No
If yes, what is your Local Union number?

References of Persons Not Related to You
1. Name*
How Do You Know This Person?*
Years Known*
Best Way to Contact (Please enter email or phone number)*
2. Name
How Do You Know This Person?
Years Known
Best Way to Contact? (Please enter email or phone number)
3. Name
How Do You Know This Person?
Years Known
Best Way to Contact? (Please enter email or phone number)
Authorization Check Box:*
- I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
Phone
This field is for validation purposes and should be left unchanged.

Education and Experience