PGE | Employment Opportunities

Employment Form

*Personal Information ( Required)**
Name*
Email address*
Present address
Phone number *
Referred by
Are you 18 years of age or older?	Yes No
Employment Desired
Position
Date you can start
Salary Desired
Are you employed now?	Yes No
If so, may we contact your present employer?	Yes No
Have you ever applied to this Company before?	Yes No
When?
Education
Grammar School

High School
Check last year completed	1 2 3 4
Did you graduate?	Yes No
Subjects studied & degree(s) received

College
Check last year completed	1 2 3 4
Did you graduate?	Yes No
Subjects studied & degree(s) received

Trade, business or correspondence school
Check last year completed	1 2 3 4
Did you graduate?	Yes No
Subjects studied & degree(s) received
Employment History (last two employers)
Employer
Date(s) employed
Duties performed
Salary upon leaving
Reason for leaving

Employer
Date(s) employed
Duties performed
Reason for leaving
General
Subjects of special study or research work
Job related skills (typing, driver's license, etc.)

Electronic Signature (Type Name Here)*
By checking this box, I am submitting an electronic signature to this employment form, which is given in accordance with federal regulations governing the legal and binding effectiveness of electronic signatures.
I certify that facts contained in this application are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation is sufficient cause for refusal to hire, or dismissal if offered employment, no matter when discovered by PGE.

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability or national origin. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process.