Southern Electric Corporation Of Mississippi
P.O. Box 320398
Flowood, MS 39232
To apply for a position with Southern Electric Corporation, fill out the online application and click "Submit Application".
^ Indicates a required field.
Please list any and all experience, training, or certification you might have relating to the "Position Applied For"
^ Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
^ Have you ever worked for this company?
If so, when?
List equipment type with dates and approximate number of miles for each
^ Do you have a Commercial Driver's License (CDL)?
^ What class is your driver's licence?
Class A CDL
Class B CDL
Class D CDL
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Has any license, permit or privilege ever been suspended or revoked?
If you answered yes to either of the above 2 questions, explain below
List accident record for the past 3 years. Include the date, description and number of injuries/fatalities for each
List traffic convictions and forfeitures for the past 3 years. Include the location, date, charge and penalty for each
^ Have you been convicted of a felony or misdemeanor in the last 5 years?**
If so, when?
^ Have you ever been denied employment for failure to provide your employer with a satisfactory drug screen or drug test in the last 3 years?
^ I understand and agree that I may be required to take physical examination test(s) as a condition of hiring or continued employment. I agree to consent to take such test(s) at such time as designated by the company and to release the company, its Directors, Officers, Agents or employees from any claim arising in connection with the use of such test(s).
^ I have been advised that drug testing is required as a condition of hiring or continued employment.
*The information requested in this section is required for a bona fide occupational qualification or dictated by National Security Laws or is needed for other legally permissible reasons.
**You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied.
Please list home addresses for the last 3 years, if different than current address.
Do you have any computer experience?
If yes, what do you have experience in?
Are you willing to recieve computer training?
Please list three professional references.
Include full name, company name, address, relationship and contact information for each.
Please list last 10 years of employment.
I understand that I must provide my complete employment history for the past 3 years, and all CDL required employment for the 7 years preceeding that. Any gaps in employment longer than 1 month are explained as follows:
I was not employed by any company or individual
I was not convicted of any criminal act involving the use of a commercial motor vehicle
or while driving a commercial motor vehicle
^ Do you have any physical limitations that preclude you from performing any work for which you are being considered?
^ I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I understand that by applying for this position I give Southern Electric Corporation permission to access my motor vehicle record. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice.
I authorize you to make such investigations and inquiries of my personal employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons of from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interviews may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.
I understand that information I provide regarding current and/or previous employers may be used, and those employers will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and (e). I understand that I have the right to:
^Enter your name here as an electronic signature:
Date submitted: August 20, 2017