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Equal Opportunity Employer
- Discrimination in employment because of race, religion,
creed, color, national origin, ancestry, disability, age,
sex or liability for service in the armed forces of the
United States is prohibited by Corporate policy. In addition,
Company employment policy requires compliance with state
and local fair employment practice laws and regulations.
The Company is an equal opportunity employer.
Drug/Alcohol Policy - This
Company has a drug free policy, and does drug and alcohol
testing. Not passing a drug or alcohol test will be cause
for dismissal.
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CONTACT INFORMATION |
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Last Name
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First Name
*
M.I.
Maiden Name
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Address
*
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Soc. Sec. No.
*
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City
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State
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ZIP
*
Phone
*
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How long have you lived at the present address?
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Email
*
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GENERAL INFORMATION |
| 1) Are you 18
years of age or older? |
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Yes
No If no, enter age
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| 2)
Have you ever been employed
by this company? |
*
Yes
No
If yes, which location?
date employed?
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| 3) Have you ever
plead guilty to/or been convicted of a felony? |
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Yes
No
If yes, explain and state reasons?
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4) Are you
seeking work:
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Full time
Part time |
Date you can start:
Month
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Day
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5) Are you available to work any shift (weekends, evenings and overtime)? |
Yes
No
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| 6) Position sought: |
*
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| 7)
Wage sought: |
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| 8) Can you
read and work from blueprints? |
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Yes
No |
| 9) Have you ever been bonded? |
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Yes
No |
| 10) Do you
have a valid driver's license? |
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Yes
No |
State Issued:
Exp. Date: Mo.
Yr.
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Driver's License #:
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| 11) Is a car available to you
for daily use? |
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Yes
No |
| 12) Do you
have auto insurance? |
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Yes
No
Company:
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| 13) Plumbing only: Do you have a valid plumbing license? |
Yes
No |
What level? |
Apprentice
Tradesman
Journeyman
Master |
14) Propery Damage Limits:
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Public Liability Limits:
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| 15) Have
you received any driving citations in the last 24 months? |
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Yes
No
If yes, explain:
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| 16) Do you
have any relatives previoulsy or currently employed with our company? |
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Yes
No
If yes, please give names and locations at which employed:
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EDUCATION |
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Education will be considered only to the extent relevent for the position for which you are applying.
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FORMER EMPLOYERS |
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List your last three employers. Please list your most recent employer last.
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| Are you a U.S. citizen or an alien authorized
to work in this country? |
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Yes
No |
| Person to contact in case of emergency: |
Name:
Address:
Phone:
Employer:
Employer Phone:
Relationship:
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I hereby authorize anyone of whom request is made to
supply to the Company, any information concerning my background
in connection with employment consideration. I hereby release
all parties, including but not limited to the Company and
my prior employers, from any and all liability for any damage
that may result from their furnishing information concerning
me. I understand falsification, misrepresentation, incomplete
information, omission of facts called for on this application
will result in dismissal. I understand and hereby acknowledge
that if I am offered and accept employment with the Company,
my employment is considered at-will, for no definite period
of time, and may be terminated with or without cause. I
further understand that this application is not a contract
of employment.
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I have read and understand the Disclosure and Release
information. (click
here)
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I have read and understand the Addendum to Application.
(click here)
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**Please review all information carefully
prior to submitting your application. Thank you!**
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