General Information Form
Name
Zipcode
Have you worked for an electrical service and repair company?
Phone No.
Required to be filled out in it's entirety.
Email
Atlanta/Decatur Area
404-321-3134
Smyrna/Woodstock Area
770-986-7571
Sandy Springs/Alpharetta Area
770-452-4663
Do you have a clean driving record?
If yes, what company?
Are you familiar with flat rate?
This information will be verified.
Have you ever been convicted of a crime?
This information will be verified.
If yes, please explain.
How many years of experience do you have in the electrical industry?
Are you currently employed?
Have you had formal education in the electrical industry?
If yes, what school?
City
(Does not include new construction)
