Employment Application

Thank you for you consideration to apply for Dixie Power. Please fill out the application as much as possible. You are welcome to resume your application at a later time if needed.

Position Applying For*
We're sorry. We are currently only hiring for the position of Apprentice Substation Technician. Please apply for other positions when we have an open job posting for them.

Save and Continue Later

Name*
First Last
Phone*
Email*
Desired Salary
Date Available to Work
MM
DD
YYYY
Are you a United States citizen?*
- Yes
- No
Are you authorized to work in the U.S.?*
- Yes
- No
Have you ever worked for this company?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
When?*
Explain*
Address
Address
Street Address City State / Province / Region ZIP / Postal Code Country

Save and Continue Later

Education History
High School
High School
High School Address
What years did you attend high school?
Did you graduate high school?
- Yes
- No
College
College
College Address
What years did you attend college?
Did you graduate college?
- Yes
- No
Other Education
Any other form of Education?
Other form of Education Address
What years did you attend this other form of education?
Did you graduate from this other form of education?
- Yes
- No
Describe any other education or training

Save and Continue Later

Employment History
Please provide 3 previous employers.
Employer 1
Employer Name*
Phone*
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Responsibilities
Job Title
Supervisor
Starting Wage/Salary
Ending Wage/Salary
Start Date
MM
DD
YYYY
Reason For Leaving
End Date*
MM
DD
YYYY
Current Employer
- Yes
- No
May we contact this employer?*
Employer 2
Employer Name*
Phone*
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Responsibilities
Job Title
Supervisor
Starting Wage/Salary
Ending Wage/Salary
Start Date
MM
DD
YYYY
Reason For Leaving
End Date*
MM
DD
YYYY
Current Employer
- Yes
- No
May we contact this employer?*
Employer 3
Employer Name
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Responsibilities
Job Title
Supervisor
Starting Wage/Salary
Ending Wage/Salary
Start Date
MM
DD
YYYY
Reason For Leaving
End Date
MM
DD
YYYY
Current Employer
- Yes
- No
May we contact this employer?
Military
Did you serve in the military?
- Yes
- No
Branch
What dates did this service occur?
Rank at Discharge
Type of Discharge
If other than honorable discharge, explain
Resume Upload
Upload Your Resume
Accepted file types: pdf, doc, docx.
References
Please provide 3 references
Reference 1
Name
First Last
Relationship
Phone
Reference 2
Name
First Last
Relationship
Phone
Reference 3
Name
First Last
Relationship
Phone

Save and Continue Later

Consent
Disclosure Regarding Background Investigation*
Background Check Disclosure
As part of your application for employment or continued employment, the Company/Employer named below may obtain information about you from a Consumer Reporting Agency (CRA), also known as a background screening company. As a result, you may be the subject of a “consumer report” or “investigative consumer report,” also known as background reports. These background reports may be obtained at any time after receipt of your authorization and, if you are hired by the Company/Employer, throughout your employment where permitted by law.
The CRA preparing the consumer report is: Simpliverified LLC,1192 East Draper Parkway #221, Draper, Utah 84020, Phone # 855-837-1328, For information about the CRA’s privacy policy, go to: www.simpliverified.com
The consumer report may include information from employer personnel files, educational institutions, government agencies and licensing bureaus, credit bureaus, companies, corporations, and law enforcement agencies at the federal, state or county level relating to your past activities. An investigative consumer report may include information about your character, general reputation, personal characteristics, and/or mode of living which may be obtained through personal interviews with employers and other associates. Credit history will only be obtained where permitted by law and when substantially related to the position you hold or seek.
You have the right, upon written request made within a reasonable period of time after receipt of this notice, to request the nature and substance of any background report prepared about you. You may also request a copy of any report that is prepared about you and “A Summary of Your Rights Under the Fair Credit Reporting Act” (a copy of which is provided with this document). To do so, contact the CRA shown above.

I acknowledge receipt of this Disclosure and certify that I have read and understand this document
Signature
Acknowledgement and Authorization*
I agree to the Acknowledgement and Authorization
Background Check Authorization
I acknowledge receipt of DISCLOSURE REGARDING PREPARATION OF BACKGROUND REPORT and “A Summary of Your Rights Under the Fair Credit Reporting Act.”
By my signature below, I authorize procurement of consumer reports and/or investigative consumer reports by the Company/Employer named below and authorize preparation of such reports by the named CRA. I authorize without reservation law enforcement agencies, academic institutions, data repositories, credit bureaus, courts (federal, state, and local), government agencies and licensing bureaus, information service bureaus, employers, and others having information about me to furnish any and all information about me to the Consumer Reporting Agency when requested. I understand and authorize that these reports may be obtained and prepared any time after receipt of this authorization and during my employment, if hired, unless prohibited by applicable law or I withdraw my authorization in writing.
I agree that a photocopy or facsimile of this authorization, whether signed electronically or handwritten, has the same authority as the original. If employed by the Company/Employer named below, I agree that this authorization will remain in effect throughout my employment unless prohibited by applicable law or I withdraw my authorization in writing.
I authorize Simpliverified to conduct the Background check(s) described above. I acknowledge I may request a hard copy of this Disclosure and Authorization form by calling Simpliverified at 855-837-1328
Signature
ID/SSN (last 4):

Save and Continue Later

JOIN OUR TEAM

Employment Application

Step 1 of 5

We're sorry. We are currently only hiring for the position of Apprentice Substation Technician. Please apply for other positions when we have an open job posting for them.

Address

Education History

High School

College

Other Education

Employment History

Employer 1

Employer 2

Employer 3

Military

Resume Upload

References

Reference 1

Reference 2

Reference 3

Consent

Signature