Apply Step 1 of 5 - Position 20% Position Applying ForTitle*Preferred Customer/Contract:* TECO Duke FP&L None Date Available* MM slash DD slash YYYY Minimum Acceptable Salary*Payment* Hourly Salary Personal InformationName* First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (Cell)*Phone (Alternate)Email Address* High SchoolName / Location of School*Received* Diploma / GED None Your name, if different wile attending school:College, University, or Professional SchoolTranscripts may be required.College, University, or Professional SchoolClick the plus button to add a row.Name of SchoolLocationDates of Attendance (Month/Year)Major/Minor Course of StudyType of Degree Earned Job Related Training or Course WorkVocational, Trade, Governmental, Business, Armed Forces, etc.Job Related Training or CourseworkClick the plus button to add a row.Name of SchoolLocationDates of Attendance (Month/Year)Course of StudyCredit Hours EarnedTraining Completed License, Registration or CertificationLicense, Registration or CertificationClick the plus button to add a row.NameNumberDate ReceivedExpiration DateStateLicensing Agency Employment HistoryDescribe all work experience in detail, beginning with your current or most recent job. Include military service (indicate rank), internships and job-related volunteer work, if applicable. Indicate number of employees supervised. Use a separate block to describe each position or gap in employment. If needed, attach additional sheets, using the same format as on the application. All information in this section must be completed. Resumes may be attached to provide additional information.1Name of Last EmployerAddressYour Job TitleSupervisors NamePhone NumberFrom MM slash DD slash YYYY To MM slash DD slash YYYY Hours Per WeekDuties and ResponsibilitiesReason for Leaving2Name of Last EmployerAddressYour Job TitleSupervisors NamePhone NumberFrom MM slash DD slash YYYY To MM slash DD slash YYYY Hours Per WeekDuties and ResponsibilitiesReason for Leaving3Name of Last EmployerAddressYour Job TitleSupervisors NamePhone NumberFrom MM slash DD slash YYYY To MM slash DD slash YYYY Hours Per WeekDuties and ResponsibilitiesReason for Leaving4Name of Last EmployerAddressYour Job TitleSupervisors NamePhone NumberFrom MM slash DD slash YYYY To MM slash DD slash YYYY Hours Per WeekDuties and ResponsibilitiesReason for Leaving Knowledge / Skills / Abilities (KSAs)List KSAsList KSAs you possess and believe relevant to the position you seek, such as operating heavy equipment, computer skills, fluency in language(s), etc.CitizenshipYou will be required to provide identification and either proof of citizenship or proof of authorization to work in the U.S.Are you 18 years of age or older?* Yes No Are you legally authorized to accept employment to which you are applying?* Yes No RelativesTo your knowledge, do you have any relatives working in this agency?* Yes No If yes, who?CertificationI am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, personnel staff, and other authorized employees of Florida state government for employment purposes. This consent shall continue to be effective during my employment if I am hired. I understand that applications submitted for state employment are public records. I certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith.Signature*
