Job Application – Energy Data Analyst

Personal Information

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CELL PHONE:(Required)

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LEGAL RIGHT TO WORK IN THE UNITED STATES?(Required)

YES

No

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ARE YOU WILLING TO RELOCATE?(Required)

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Maybe

TYPES OF WORK YOU WILL ACCEPT (FULL-TIME, PART-TIME, CONTRACT, TEMPORARY):

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Education

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School 1

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DID YOU GRADUATE?(Required)

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WORK EXPERIENCE

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MAY WE CONTACT THIS EMPLOYER?(Required)

Yes

No

HOURS PER WEEK:

# OF EMPLOYEES SUPERVISED:

DUTIES:

REASON FOR LEAVING:(Required)

Job 1

DATES:(Required)

EMPLOYER:(Required)

POSITION TITLE:(Required)

ADDRESS:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

EMAIL:(Required)

PHONE NUMBER:(Required)

Country Phone Number

SUPERVISOR'S NAME:(Required)

MAY WE CONTACT THIS EMPLOYER?(Required)

Yes

No

HOURS PER WEEK:

# OF EMPLOYEES SUPERVISED:

DUTIES:

REASON FOR LEAVING:(Required)

CERTIFICATES AND LICENSES

Certificates/Licenses

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Skills

OFFICE SKILLS:

OTHER SKILLS:

LANGUAGE(S): (Speak, Read, Write)

ADDITIONAL INFORMATION

REFERENCES

References

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NAME:

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Reference 1

REFERENCE TYPE:

NAME:

POSITION:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

EMAIL ADDRESS:

PHONE NUMBER:

Country Phone Number

The Clean Energy Alliance utilizes electronic mail (e-mail) to notify applicants of important information relating to the status and processing of your application. We do so as part of our ongoing efforts to increase operational efficiency, promote the conservation of green resources, and minimize delays and costs. Therefore, as an applicant, you are hereby advised of the following: 1. Ensure that the email address and contact information you provide is current, secure, and readily accessible to you. Spam or other filters should be adjusted to accept our emails. We will not be responsible in any way if you do not receive our emails, i.e., for the non-delivery of email or if you fail to check your email-box on a timely basis, etc. 2. Read any notices we send carefully and in a timely manner. Follow further instructions, if any. We recommend that you print and keep a hard copy of our notices for your records. I acknowledge that I have read, understand, and agree to the above.(Required)

Yes

Have you ever been discharged or forced to resign from any position?(Required)

If yes, please explain the circumstances surrounding your dismissal/forced resignation. If no, list N/A

Are you legally eligible to work in the U.S.? (Note: Proof of eligibility is required upon hire)(Required)

Have you ever been employed by Clean Energy Alliance?(Required)

Are any of your relatives employed by Clean Energy Alliance?(Required)

If yes, please list the name(s) of your relative(s). If no, list N/A

How did you first learn of this employment opportunity?(Required)

The following terms were accepted by the applicant upon submitting the online application: igital Signature Application Certification: All answers and statements in this application are true and complete to the best of my knowledge and belief. I understand that untruthful or misleading answers are cause for rejection of this application, removal of name from an eligible list, or dismissal from employment. I authorize investigation of all statements in this application for employment as may be necessary in arriving at an employment decision. I understand that I may be requested to submit proof of qualifications at a later date. If upon checking these the CEA determines that I do not meet specific requirements, I understand that I will be disqualified. In order for CEA to verify the accuracy of the information contained in my application, I hereby authorize any former employer, its employees or representatives, or any person listed as a reference to provide any and all information they deem appropriate regarding my employment and job performance, references, education or training, and criminal history, including driving record to CEA and any of its employees, representatives, and agents. I understand that Clean Energy Alliance has a right to obtain criminal history information after a conditional offer has been made. This information may be provided either verbally or in writing. In addition to authorizing the release of any information regarding my employment, I hereby fully waive any rights or claims I have or may have against any former employer, its employees and representatives, or any person listed as a reference, and release any former employer, its employees and representatives, former educational institution, or any person listed as a reference from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of such information by any person or party, whether such information is favorable or unfavorable to me. I am aware that fingerprinting may be required after an offer of employment. In addition, I am aware that after an offer of employment has been extended, I may be required to submit to a medical examination that includes a drug and/or alcohol analysis. I also understand that failure to submit to or satisfactorily complete this examination may result in any offer of employment being withdrawn.

Signature (type your name)(Required)

Date(Required)

Personal Information

Attachments

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Education

WORK EXPERIENCE

CERTIFICATES AND LICENSES

Skills

REFERENCES

Energy Data Analyst Supplemental Questions

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