WHEN COMPLETING THIS APPLICATION, PLEASE MAKE SURE YOU
• COMPLETE THE SECTION FOR BACKGROUND CHECK CONSENT.

• APPLY FOR ONE VACANCY PER APPLICATION.

• GIVE COMPLETE INFORMATION ON YOUR EDUCATION AND WORK HISTORY (“SEE RESUME” IS NOT ACCEPTABLE).

• LIST SEPARATELY EACH JOB HELD AND YOUR DUTIES FOR EACH POSITION WHEN YOU WORKED FOR ONE EMPLOYER AND
HELD MORE THAN ONE POSITION.

• AS YOU DESCRIBE YOUR WORK HISTORY, MAKE SURE YOU HIGHLIGHT YOUR COMPETENCIES (KNOWLEDGE, SKILLS, ABILITIES
AND WORK BEHAVIORS) WHICH DEMONSTRATE YOUR QUALIFICATIONS FOR THE POSITION FOR WHICH YOU ARE APPLYING.

• PROVIDE YOUR SOCIAL SECURITY NUMBER, ADDRESS, BIRTH DATE AND DRIVERS LICENSE INFORMATION.

• CHECK FOR ACCURACY, SIGN AND DATE YOUR APPLICATION.

THANK YOU FOR YOUR INTEREST IN SENTRY ENGINEERING GROUP. WE WANT TO FIND THE BEST QUALIFIED PEOPLE AVAILABLE TO
WORK FOR OUR GROWING COMPANY. ALTHOUGH EVERYONE WHO APPLIES CANNOT BE HIRED, YOUR APPLICATION WILL BE GIVEN
EVERY CONSIDERATION.
Background Check Consent Form
Sentry Engineering Group, Inc. requires that all applicants give consent to a Criminal History check, a Sex Offender Registry check, a Driving
Records check, and if hired, a Drug and Alcohol screening.

Permanent Address Information
Date of Birth
(for ID purposes only)
Street Address

(Month) (Day) (Year) Street Address Continued

Social Security #
- - City State Zip Code

Drivers License #
Alternate / Alias First Name(s) Used
State Issued
Alternate / Alias / Maiden Last Name(s) Used
Expiration Date

Statement of Consent (Signature Required)

I have applied for employment with Sentry Engineering Group, Inc., and do hereby authorize the company to complete a background check using my
social security number, driver’s license number, address or other information I have provided Sentry Engineering Group, Inc. I understand that I will also
participate in drug and alcohol screening prior to employment. I understand that should the company find anything in my background check or drug and
alcohol testing that may be objectionable at the discretion of the company, my employment may be terminated if employed or refused a position at the
company if applying for employment. I understand that Sentry Engineering Group, Inc. participates in the Federal E-Verify system.

I clearly understand that this consent form does not create a contract for employment with Sentry Engineering Group, Inc..
Print Full Name: __________________ _______________________

Signature: __________________________________________________

Date Signed: ___________ ____________
Sentry Engineering Date of Application
APPLICATION FOR EMPLOYMENT Group, Inc.
Social Security No. Last Name First Name Middle Name
- -
Address (Street number and name) City County

State Zip Code Home Phone Cell Phone

Availability
Are you available to Are you related by blood or marriage to any person now working for the Sentry Engineering Group, Inc. Email Addresses
work immediately? YES NO
If yes, give name, relationship to you and the agency where employed. Primary__ _ ____
YES NO
Secondary___ ____
Military Service
Have you served honorably in the Armed Forces of the United States on active duty for reasons other than training? YES NO
Give dates of your active military service:
Entered: Separated: Branch: Rank

CHECK the types of work you will accept: 1. Permanent full-time 2. Permanent part-time 3. Temporary full-time 4. Temporary part-time
5. Shift or Split Shift Work 6. Work involving Travel 7. Any of the preceding
If you are not available for work now, enter the earliest date you could begin work (mo/day/yr.)
Will you accept work anywhere in the U.S.? YES NO

Job Applied For
Enter below the specific title and Job Number (if applicable) of the job for which you are applying.

Job Title: Vacancy Number:

Referral Source
Please indicate your referral source:

Education
Circle highest grade completed: 1 2 3 4 5 6 7 8 9 10 11 12 GED College 1 2 3 4 Graduate School 1 2 3 4
Under S/Q Hrs., list the hours of credit received and if they were semester (S) or quarter (Q) hours.
Dates Attended (mo/yr) Type of Degree
Schools Name and Location From: To: Grad? S/Q Hrs. Major/Minor Course Work Received
YES
High School NO
College(s) YES
University (s) NO
Graduate or YES
Professional NO
Other educational, YES
vocational school, NO
internships, etc.
Special training programs and seminars you have completed in the last five years (list):

Membership in professional, honorary, or technical societies (list):

Licenses and certifications (List, giving dates and sources of issuance):

Wind Turbine Experience (if any – please list what types of towers you have worked on, what tasks you performed on them, and length of experience):

*****THIS SPACE TO BE FILLED BY SENTRY ENGINEERING HUMAN RESOURCES ONLY*****
WT023 Job Number 7/8/14 Date Position Opened
SN002 Application Number Date Position Filled
Multi Project Name David Hedden Hiring Site Manager
SKILLS
CHECK the following skills, experiences, etc., which you have:
Driver’s License Sign Language 35kV Termination / Splicing Experience
Foreign language (specify) Heavy Machinery operation
Typing (specify WPM) CPR Certified
Number State Exp. Date Computer / IT / Network Proficiency Climbing History
Two-Way Radio Programming Experience Wind Turbine History
Car for use at work License is a CDL Transmission Line / Power Cable Experience Other
- Class

Have you ever been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be hired. The offense and
how recently you were convicted will be evaluated in relation to the job for which you are applying.) YES NO
(If yes, explain fully on an additional sheet.)
Do you have any physical or medical limitations that would limit the type of physical activities you can do, i.e., pregnancy, back problem, etc.? (Please include any
medications that you are taking that will potentially affect your daily activities) YES NO
(If yes, explain fully on an additional sheet.)
WORK HISTORY (include volunteer experience) Use additional sheets if necessary. As you describe your work history experiences, make sure you highlight your
competencies which demonstrate your qualifications for the position for which you are applying.
Current or Last Employer: Address:

Job Title: Supervisor’s Name Telephone Number No. Supervised by you:

Date Employed (mo/yr) Starting Salary Ending or Current Salary Reason for Leaving May We Contact Employer
$ per $ per YES NO
Date Separated (mo/yr) List major duties that demonstrate your competencies related to the position for which you are applying in order of their
importance in the job:

Full Time Years Months

Part Time Years Months

If part time, number of hours
worked per week:

Employer: Address:

Job Title: Supervisor’s Name Telephone Number No. Supervised by you:

Date Employed (mo/yr) Starting Salary Ending or Current Salary Reason for Leaving
$ per $ per
Date Separated (mo/yr) List major duties that demonstrate your competencies related to the position for which you are applying in order of their
importance in the job:

Full Time Years Months

Part Time Years Months

If part time, number of hours
worked per week:

Employer: Address:

Job Title: Supervisor’s Name Telephone Number No. Supervised by you:

Date Employed (mo/yr) Starting Salary Ending or Current Salary Reason for Leaving
$ per $ per
Date Separated (mo/yr) List major duties that demonstrate your competencies related to the position for which you are applying in order of their
importance in the job:

Full Time Years Months

Part Time Years Months

If part time, number of hours
worked per week:

I certify that I have given true, accurate and complete information on this form to the best of my knowledge. In the event confirmation is needed in connection with my
work, I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications.
I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information
may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon
employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 14-122.1.)

Signature of Applicant (unsigned applications will not be processed) Date