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Home
About Us
Our Work
Employment
- Careers
- Apply Online
Contact Us

310 E. Russell Rd.
Sidney, OH 45365

Call Us

937-492-0346

Home
About Us
Our Work
Employment
- Careers
- Apply Online
Contact Us

Apply Online

Our Experts Are Ready! Call Us at 937-492-0346

Employment Application

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Application For Employment
This Application is Valid for 30 days (Apprentice Applications Maintained For 2 Years)
Federal law obligates us to provide reasonable accommodation to the known disabilities of applicants and employees, unless to do so would impose an undue hardship. Please let us know if you need an accommodation to complete the application process or to perform any essential elements of the position sought.

Important: In order for this application to be considered, this must be in original form and ALL questions must be answered. (If a question is “not applicable”, please mark “N/A”)

Sollmann Electric is an Equal Opportunity Employer and applicants are considered for all positions, and employees are treated during employment, without regard to race, color, religion, sex, national origin, age, disability, or any other prohibited basis of discrimination, as provided under applicable state and federal law.

Notice To Applicants: Screening tests for illegal drug use and criminal background screening are required as a Conditional Offer of Employment.
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone*
Email*
How did you find out about job opportunities at Sollmann Electric Company?*
- Indeed.com
- HometownOpportunity.com
- OhioMeansJobs.com
- Other
If Other, please list.*
If Other, please list.
Do you have any friends or relatives working here?*
- Yes
- No
List friends or relatives*
if yes, please list
Position Applied For:*
Desired Wages/Salary:*
Per*
I certify that I am a U.S. citizen, permanent resident, or national with authorization to work in the U.S.*
- Yes
- No
Are you at least 18 years of age?*
- Yes
- No
Are you interested in ?*
Have you been convicted of felony within the past 7 years?*
Conviction will not necessarily disqualify applicant from employment. The recency, severity, and pertinence of the conviction to the job will be considered.
- Yes
- No
If yes, explain*
Do you have a valid driver's license?*
- Yes
- No
License #*
Do you have any traffic violations?*
- Yes
- No
If yes, explain*

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Employment Experience

Your application will not be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical. Include any job-related military service assignments and volunteer activities. You may exclude organizations, which indicate race, color, religion, gender, national origin, disability or other protected status.
Present Or Last Position
Have you ever been employed?*
- Yes
- No
Employer 1*
Job Title*
From*
MM slash DD slash YYYY
To or Present*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Starting Wage/Salary*
per*
Ending or Current Wage/Salary*
per*
Bonus/Commission*
Job Duties*
Reason(s) for leaving or wanting to leave*
May contact this employer?*
- Yes
- No
Next Previous Position
Have you had two jobs?*
- Yes
- No
Employer 2*
Job Title*
From*
MM slash DD slash YYYY
To or Present*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Starting Wage/Salary*
per*
Ending or Current Wage/Salary*
per*
Bonus/Commission*
Job Duties*
Reason(s) for leaving*
May we contact this employer?*
- Yes
- No
Next Previous Position
Have you had three jobs?*
- Yes
- No
Employer 3*
Job Title*
From*
MM slash DD slash YYYY
To or Present*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Starting Wage/Salary*
Per*
- Hour
- Year
Ending or Current Wage/Salary*
Per*
- Hour
- Year
Bonus/Commission*
Job Duties*
Reason(s) for leaving*
May we contact this employer?*
- Yes
- No

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Education
HIGH SCHOOL
High School Name*
Address*
Street Address Address Line 2 City State ZIP Code
Did you graduate from high school?*
- Yes
- No
If Yes*
- Diploma
- GED
Describe extracurricular activities, honors received, etc.*
TECHNICAL/VOCATIONAL/CAREER CENTER
Did you attend a Technical/Vocational/Career Center?*
- Yes
- No
Technical/Vocational/Career Center Name*
Address*
Street Address Address Line 2 City State ZIP Code
Did you graduate from technical/vocational/career center?*
- Yes
- No
List Diploma, Certificate or degree*
Describe course of study*
Describe extracurricular activities, honors received, etc.*
COLLEGE/UNIVERSITY
Did you attend a college/university?*
- Yes
- No
College/University Name*
# of years attended*
Address*
Street Address Address Line 2 City State ZIP Code
Did you graduate from college/university?*
- Yes
- No
List degree if graduated*
Describe course of study / major*
Describe extracurricular activities, honors received, etc.*

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References
List three responsible adults who have knowledge of your work ethic, experience, and ability. (Do not include relatives).
Reference #1
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email
Employer*
Occupation*
Years known*
Reference #2
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email
Employer*
Occupation*
Years known*
Reference #3
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email
Employer*
Occupation*
Years known*

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Additional Questions
What part(s) of your present job appeals least to you?*
What was the best job you ever had and why?*
Do you have any other skills or qualifications that you believe would be important for consideration by Sollmann Electric?*

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Applicant's Acknowledgement, Certification & Authorization
These answers are true and complete to the best of my knowledge. Sollmann Electric may investigate all statements contained in this application, and I understand that any false or misleading information provided may result in my immediate discharge. I understand that this application is not a contract of employment and that if hired, regardless of any oral representations to the contrary, the employment relationship between me and Sollmann Electric is terminable at-will. Any changes in this employment relationship must be placed in writing and signed by the President of Sollmann Electric.

I understand that any offer of employment may be conditioned upon a health evaluation by a doctor selected by Sollmann Electric to determine whether I can perform the essential functions of the job with or without a reasonable accommodation. In addition, I understand a drug and alcohol test may be required depending upon Company policy. I authorize Sollmann Electric to make a thorough investigation of my past employment, education, and job-related activities and I release from all liability all persons, companies, and corporations supplying such information. I also understand that investigative background inquires may be made on myself that may include consumer, criminal, driving, academic and other reports. These reports will include information as to my character, work habits, performance and experience. Further, I understand that Sollmann Electric may be requesting information from various federal, state and other agencies which maintain records concerning my past academic, employment, driving, credit, criminal, and civil histories and other experiences. I also indemnify Sollmann Electric against any liability, which might result from making such investigation.

Additionally, I authorize Sollmann Electric to supply my employment record, in its sole discretion, in whole or in part, to any prospective employer, government agency, or other party, with an interest that Sollmann Electric deems appropriate.

Furthermore, I understand that if my address should change, I am responsible to notify Sollmann Electric in order to keep my application valid.

I understand that if I become an employee of Sollmann Electric at any time in the future, this Application for Employment will become a part of my official employment record. I further acknowledge that Sollmann Electric will rely on the information contained in this application in any hiring decisions and that inaccurate or false information can be a basis for termination of my employment.

I understand and agree that, if I am employed by Sollmann Electric, my employment is for no definite period of time and can be terminated, with or without cause of notice at any time, the option either Sollmann Electric or myself. I understand that no representative of Sollmann Electric other than an officer has any authority to enter into any agreement with me contrary to the foregoing, unless placed in writing and signed by the President of Sollmann Electric.

I further agree to take any lawful medical examination required by Sollmann Electric upon receiving a conditional offer of employment by Sollmann Electric or after I am hired, as a condition of my continued employment. I agree that my refusal to take any such lawful examination may be cause for termination of my employment. I further understand that Sollmann Electric may or will require a pre-employment drug test for illegal substances, and that Sollmann Electric will not hire any applicant who tests positive or refuses to consent to pre-employment drug testing. I further understand, that an employee who tests positive for illegal drugs or alcohol usage during working hours, or who refuses to consent to drug and alcohol testing, is subject to being eliminated from the hiring process or discharged if already employed.

I release all persons or companies conducting a medical examination of any liability.

I certify that the facts contained in the Employment Application are true and complete. I understand that if I become employed, any false information I may have provided on the Employment Application shall be grounds for my immediate dismissal.

I also understand that I am required to abide by all the rules and regulations of Sollmann Electric.
Upload Resume/Cover Letter
Drop files here or

Accepted file types: pdf, docx, docm, dotx, dotm, docb, jpg, png, Max. file size: 8 MB.
Please upload your resume and or cover letter if available
Applicant's Signature
Signature Agreement*
- I Agree
By checking this box, typing your name and dating the application you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
Application Digital Signature*
Date*
MM slash DD slash YYYY
*NOTE: After submitting, make sure you fill out the self identification form.
Name
This field is for validation purposes and should be left unchanged.

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SE-Logo_2022_edited-3

310 E. Russell Rd.
Sidney, OH 45365

937-492-0346

OH LIC 26835

310 E. Russell Rd.
Sidney, OH 45365

OH LIC 26835

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First Last
Email*
Phone*
Message*

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