Employment Interest Form

Office Locations *

Concord (Contra Costa County)
Rohnert Park/Cotati (Sonoma County)
South San Francisco (San Mateo County)
Montclair (San Bernardino/Los Angeles County)
Victorville (San Bernardino County)

Check all the California location(s) you're applying for.

Position(s) Applying For *

Weatherization Installer
Appliance/HVAC Technician
Insulation Technician
Outreach Energy Specialist
Office & Data Entry Staff
Canvasser, Phone/Door-to-Door
Work Scheduler/Dispatcher
Electrician Helper

Please select the position(s) you are applying for.

First Name *

Last Name *

Street Address 1 *

Street Address 2

City *

State *

Zip Code

Primary Telephone Number *

Secondary Telephone Number

Email Address *

Referral Source *

Weatherization Installer
Appliance/HVAC Technician
Walk-in
School
Employee
Job Fair
Advertisement
Staffing Agency
Company's Website
Government Employment Agency
Fresh EBT
Company Flyer
Other:

Please check the appropriate category and if applicable, list the name of the referral source below.

Other - Referral Source *

Referral Source Name

Based on your above selection.

If necessary, best time to call you?

If you are under 18 and it is required, can you furnish a work permit? *

Yes
No
Not Applicable

If you answered "No" to the above question, please explain. *

Have you submitted an application with QCS before? *

If you answered "Yes" to the above question, please provide the date(s) and position(s). *

Have you ever been employed with QCS before? *

If you answered "Yes" to the above question, please provide the dates. *

Example: From 01/01/2013 to 05/01/2014

Are you eligible for employment in this country? *

Date available for work? *

What is your desired salary range or hourly rate of pay? *

Type of employment desired? *

Full-Time
Part-Time
Educational Co-Op
Seasonal
Temporary

Will you work overtime if required? *

If you answered "No" to the above question, please explain. *

Driver's license number is required if driving may be required in the job for which you are applying: *

(Enter your drivers license number and the state of issuance.)

Have you entered into an agreement with any former employer or other party (such as a noncompeting agreement) that might, in any way, restrict your ability to work for our company? *

If you answered "Yes" to entering into an agreement that might restrict your ability to work for QCS, please provide dates and details *

(866)794-5129

Submit Form

Employment Interest Form

Have Questions?

Send us an email or give us a call!

Email Us

Call Us

Follow us on social media

Quick Links

Useful Links