JOB APPLICATION
PERSONAL INFORMATION
For which position are you applying?
General Application
HVAC Commissioning tech
Service Dept. Repair Estimator
Mechanical Engineer
Sheet Metal Lead Mechanic
Pre-Fabrication Shop Foreman
Field Commercial Plumbing Superintendent
Welding & Piping Lead
Journeyman Plumbing Mechanic
Service Technicians (Plumbing)
Commercial HVAC Technicians (Harrisonburg)
Commercial HVAC Technicians (Winchester)
Sheet Metal Apprentice
Commercial Plumbing Apprentice
How did you hear about us?
Radio
Television
Indeed
Google
Facebook
LinkedIn
Friend or Acquaintance
Instagram
Full Legal Name
As it appears on all legal documentation
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date available to work
-
Month
-
Day
Year
Date
Desired Work Type
Full Time
Part Time
Preferred Method of Contact
Call
Email
Text
Are you 18 year of age or older?
Yes
No
Have you applied at Blauch Brothers, Inc. previously?
Yes
No
Have you worked at Blauch Brothers, Inc previously?
Yes
No
Are you currently employed?
Yes
No
May we contact your current employer?
Yes
No
Are you legally Authorized to work in the United States?
Yes
No
Are you a veteran of the U.S. military?
Yes
No
Date of service (start)
-
Month
-
Day
Year
Date
Date of service (end)
-
Month
-
Day
Year
Date
Military experience related to HVAC / plumbing trades
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EMPLOYMENT HISTORY
Employer 1 (current or most recent)
Company Name
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
-
Area Code
Phone Number
Job Title
Pay Rate
Date of Hire
-
Month
-
Day
Year
Date
Ending Date
-
Month
-
Day
Year
Date
Supervisor Name
Reason for Leaving
Employer 2
Company Name
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
-
Area Code
Phone Number
Job Title
Pay Rate
Date of Hire
-
Month
-
Day
Year
Date
Ending Date
-
Month
-
Day
Year
Date
Supervisor Name
Reason for Leaving
Employer 3
Company Name
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
-
Area Code
Phone Number
Job Title
Pay Rate
Date of Hire
-
Month
-
Day
Year
Date
Ending Date
-
Month
-
Day
Year
Date
Supervisor Name
Reason for Leaving
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ADDITIONAL QUALIFICATIONS
Do you have a State master's or journeyman's card?
Yes
No
If yes, for which Trade?____________
Can you read and understand blueprints?
Yes
No
Can you coordinate work with other trades?
Yes
No
Can you supervise other team members?
Yes
No
Can you establish elevations from blueprints by use of a transit?
Yes
No
Can you install piping with the required slope, pitch, or grade?
Yes
No
Can you name material types and size on sight? (pipe, fittings, etc.)
Yes
No
Are you familiar with the tools used in the trade for which you are applying?
Yes
No
Do you have a valid driver's license?
Yes
No
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REFERENCES
Reference 1
Name
First Name
Last Name
Relationship to Applicant
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Reference 2
Name
First Name
Last Name
Relationship to Applicant
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Reference 3
Name
First Name
Last Name
Relationship to Applicant
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Cover Letter
Browse Files
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