Electrical Expertise Questionnaire

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Basic Intake
Note: You must complete all sections in order to submit this form.

Please DO NOT look up any answers or ask for help on this form. Your score does not determine employment - it shows up where your knowledge stands. If you do not know the answer to any question, please indicate "I don't know" instead of guessing.

Email *

YOUR NAME: *

YOUR PHONE NUMBER: *

WHO/WHERE REFERRED YOU? *

DO YOU HAVE TOOLS? *

YES

I OWN SOME TOOLS BUT WILL NEED MORE

DO YOU OWN A VALID DRIVERS LICENSE? *

YES

HAVE YOU BEEN CHARGED WITH A DUI, CARELESS DRIVING, OR SPEEDING 30+ MPH OVER LIMIT WITHIN THE LAST THREE YEARS? *

YES

HAVE YOU EVER BEEN CHARGED WITH THEFT, PAWNING STOLEN PROPERTY, OR FRAUD? *

YES

DO YOU HAVE ELECTRICAL OR CONSTRUCTION EXPERIENCE? *

YES, ELECTRICAL, 0-2 YEARS

YES, ELECTRICAL, 2-5 YEARS

YES, ELECTRICAL, OVER 5 YEARS

YES, CONSTRUCTION, 0-2 YEARS

YES, CONSTRUCTION, 2-5 YEARS

YES, CONSTRUCTION, OVER 5 YEARS

NO, I DO NOT HAVE ELECTRICAL OR CONSTRUCTION EXPERIENCE

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