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Employment Application

Notice to Applicant

This application must be completed in full to be considered for an open position. If you decide that you do not wish for this application to be considered for the position advertised, you may contact the Human Resources Manager and request that it be removed from consideration. If your background is not compatible with our staffing needs at this time, we will retain your application for one (1) year. Should you qualify for future openings, we will contact you at that time.

Paragould Light, Water & Cable (PLWC) requires each prospective employee to submit to post offer pre-employment drug testing by urinalysis to determine the presence of marijuana, cocaine, opiates, phencyclidine (PCP), and amphetamines or a metabolite of those drugs in each prospective employee's system. Producing a verified positive drug test result or refusing to submit to a required drug test may disqualify a prospective employee from further consideration for employment with this company. PLWC may also conduct random, post-accident and reasonable suspcicion drug and/or alcohol testing of all employees in accordance with applicable federal, state and local laws. PLWC also requires any prospective employee that is applying for a position that necessitates driving a company vehicle to possess a valid Driver's License.

Any questions regarding the company's drug and alcohol testing programs should be directed to the Human Resources Manager.

Paragould Light, Water & Cable is an Equal Opportunity Employer

It is the policy of PLWC to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, religion, gender, sexual orientation, marital status, age, gender identify, disability, national origin, results of genetic testing or service in the military or other status protected by law.

Step 1: Personal Information

Please enter your legal first name.
Please enter your legal last name.
Please enter a valid e-mail address. If you believe the e-mail address that you're entering is valid, please contact us via phone at +1 (870) 239-7700.
Please enter a telephone number that is valid in the United States of America.
Please enter a telephone number that is valid in the United States of America.
Please enter a valid mailing address.
Please enter a valid mailing address.
Please enter a valid city name.
Please select a valid state.
Please enter a ZIP code that is valid in the United States.

Step 2: General Information

Invalid job position. Please call us at +1 (870) 239-7700 to report this issue.
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Please enter the date which previously submitted an application to us.

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Relatives include spouses, parents, children, siblings, in-laws, grandparents, grandchildren, aunts, uncles, nieces, nephews, stepparents, stepsiblings, stepchildren and foster children.

If you have any of these relatives currently employed with PLWC, you are not eligible for employment.


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Please indicate whether or

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NOTE: The need for an accommodation will not necessarily bar employment. Under Federal law, an employer has a legal obligation to accommodate an employee's or job applicant's handicap or disability unless the accommodation would impose an undue hardship on the employer. The nature of the accommodation needed will be weighed against the extent, if any, it would impose undue burden on the employer in accordance with the law.

Step 3: General Information (cont.)


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Exclude convictions for marijuana-related offenses for personal use more than two years old; convictions that have been sealed, expunged or legally eradicated, and misdemeanor convictions for which probation was completed and the case was dismissed.

Step 4: Education





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High School

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College/University

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Vocational, Business, Other

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Step 5: Military History

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Step 6: Employment History

List all employments for the past 10 years, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information.

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We may contact the employers listed above unless you indicate those you do not want us to contact.

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Step 7: Professional References

Please enter only professional references. Do not enter relatives.
Please enter a telephone number that is valid in the United States of America.
Please enter a telephone number that is valid in the United States of America.
Please enter a telephone number that is valid in the United States of America.

Step 8: Applicant's Statement

I certify that the information given in this Employment Application and related documentation is true and complete without qualification. I understand that the hiring process will be terminated, or in the event of my employment by PLWC, I shall be subject to dismissal, if any information that I have given in this application, in any resume or interview or any part of the hiring process is false or misleading or if I have failed to give any information herein requested, or if I have witheld relevant information, regardless of the time elapsed after discovery. I authorize Paragould Light, Water & Cable to inquire into my educational, professional and past employment history and verify all data given on this application, on related papers and in interviews. This inquiry may include information as to my character, general reputation and personal characteristics, and I consent to the conduct of this inquiry and to the consideration of any statements or references of former employers that are given in response to the inquiry. I authorize all individuals, schools and employers named, except as specifically limited on this application, to provide information requested about me, and I release them from liability for damages in providing this information.

In consideration for my employment with PLWC, I agree to conform to the rules and regulations of the company as set forth in the company's employee handbook and acknowledge that these rules and regulations may be changed, interpreted, withdrawn or be added to by the employer at any time, at the employer's sole option and without prior notice to me.

I also understand and acknowledge that, if hired, my employment and compensation will be at the will of the company and can be terminated with or without cause, and with or without notice, at any time at the option of either the company, or myself. I further understand and agree that no manager, representative, agent or employee of the company, other than the General Manager/CEO, has now or has had any authority to enter into any agreement which is contrary to or a modification of the above described employment relationship, and any such agreement or representation must be inwriting and signed by both myself and the General Manager/CEO of the company in order to be effective.

I further understand and acknowledge that, as a part of the hiring process and throughout my employment, if ired, I may be required to submit to medical/physical examinations (which may include tests for the presence of drugs and/or alcohol) and periodic driver's license checks (if I am employed in a position that requires driving a company vehicle) at the employer's discretion and expense.

If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.

I hereby acknowledge that I have read and agree to the above statements.

Please enter your legal signature.
The applicant's legal first and last name. Your typed name constitutes a valid, binding legal signature. If omitted, this application is void.
An error occurred while uploading your resume. Please try again or call +1 (870) 239-7700 for assistance.

Step 9: Affirmative Action / Equal Employment Opportunity


In compliance with Federal, State and Local Equal Employment Opportunity Laws and Regulations, qualified applicants shall not be discriminated against because of Race, Color, Ancestry, Gender, Religion, Sexual Orientation, Gender Identity, National Origin, Age, Marital Status, Results of Genetic Testing, Disability, or service in the military or other status protected by law.

To help up comply with Equal Employment Opportunity record keeping and reporting requirements we would appreciate your giving us the following information on a voluntary basis.

This information will be kept in a confidential file separate from your personnel file and will not be used to discriminate against you.


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