Careers

Application for Employment

We are an Equal Opportunity Employer and committed to excellence through diversity. Green Charge, Inc. is a Drug Free Workplace.

Fill this in on screen, then print it, or print it blank and complete it by hand. It prints on two pages.

Please print or type. The application must be fully completed to be considered. Complete each section, even if you attach a resume. Fields marked (required) must be filled in.

Employment history

Employer 1

Employer

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City

State

ZIP

Employer 2

Employer

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City

State

ZIP

Employer 3

Employer

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City

State

ZIP

Employer 4

Employer

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City

State

ZIP

Employer 5

Employer

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City

State

ZIP

Signature disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Name (please print)

Signature

Sign by hand after printing.

Date

Return your completed application to

ekarch@green-charge.com
or Green Charge, Inc., PO Box 821, Canal Winchester, OH 43110
Questions: (614) 494-1940