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Employment Application
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16
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1
Name
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First Name
Last Name
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2
Desired Position
*
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Water Heater Service Technician
Licensed Master Plumber
Water Heater Service Technician
Licensed Master Plumber
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3
Address
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Street Address
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City
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Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
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Dominican Republic
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El Salvador
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Finland
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The Gambia
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Nicaragua
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Nigeria
Niue
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Portugal
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Qatar
Republic of the Congo
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Rwanda
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Saint Helena
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Saint Lucia
Saint Martin
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Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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4
Phone Number
*
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Area Code
Phone Number
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5
E-mail
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example@example.com
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6
Are You Authorized to Work in the United States?
*
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YES
NO
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7
Previous Relevant Work Experience
*
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8
Do you have experience in a fast-paced customer service business?
*
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YES
NO
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9
Do you feel comfortable speaking with customers on the phone in both Spanish and English?
*
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You will need to be able to ask customers for their: contact information, payment information, availability, water heater model and serial numbers, water heater issues, etc.
YES
NO
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10
Years of Experience Directly Related to Position
*
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11
Which systems have you worked with in the past?
*
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Please select all that apply
N/A
Backflow Prevention
Boilers
Chillers
Chilled Water
Circulating Systems
Cold Water Systems
Drainage Systems
Fire Sprinkler Systems
Heating Systems
Hot Water Systems
Medical Gas Systems
Sanitation Systems
Septic Systems
Water Filtration Systems
Water Heaters
Other
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12
Which Certifications Do You Have?
*
This field is required.
Please select all that apply.
N/A
A.O. Smith Certifications
Apprentice Plumber License
ASPE - CPD (Certified in Plumbing Design)
IAMPO Certified Inspector
ICC Commercial Plumbing Inspector
ICC Plumbing Code Official
ICC Plumbing Inspector
ICC Plumbing Plans Examiner
ICC Residential Plumbing Inspector
Journeyman Plumber License
Master Plumber License
NSF Certification
Registered Professional Engineer
Other
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13
Do you have experience operating/performing the following tools and tests?:
*
This field is required.
Please select all that apply
Digital Multimeter
Manometer
Combustion Analyzer
Gas Pressure Check
Incoming Water Pressure
Other
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14
Are you comfortable with traveling to Arlington Heights, Illinois for 2-4 weeks of company paid training?
This would be on-the-job company specific training with our office staff and ride alongs with Senior Level Technician(s). Company training would include your agreed upon hourly rate and company paid hotel.
YES
NO
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15
Do You Have A Valid Driver's License?
*
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YES
NO
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16
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17
By signing, I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment. I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with U.S. Water Heating Solutions creates an actual or implied contract of employment. I understand that, if I accept employment with U.S. Water Heating Solutions, it will be on an at-will basis. This means that either U.S. Water Heating Solutions or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I authorize U.S. Water Heating Solutions to investigate information concerning my education, licensing, certifications, employment experiences and all other aspects of my background relevant to my proposed employment. I release U.S. Water Heating Solutions and its employees from all liability arising from such investigation.
NOTE: PER ILLINOIS HOUSE BILL 5701: BACKGROUND INVESTIGATIONS WILL BE CONDUCTED DURING THE HIRING PROCESS, GIVEN APPLICANT'S CONSENT. PRIOR TO OFFICIAL OFFER OF EMPLOYMENT ALL EMPLOYEES WILL BE SUJECT TO A DRIVING RECORD (MVR) AND CRIMINAL BACKGROUND CHECK BY AN OUTSIDE ENTITY PER MANUFACTURERS' REQUIREMENTS. ***THIS NOTE IS AN ADVANCE NOTICE OF THE UPCOMING STEPS IN OUR HIRING PROCESS***
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