Job Application WhiteBG

Applicants will be drug tested and background checked.

Full Name*

First NameMiddle NameLast NameMaiden

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

How long have you been at this location?*

E-mail*

Phone Number*

Area CodePhone Number

Age (if under 18)

Position applied for*

Journeyman PlumberApprentice PlumberClient Care Representative

Salary/Wage desired*

Be Specific

Days/Hours available to work*

	Sun	Mon	Tue	Wed	Thur	Fri	Sat
Hours

How many hours total can you work weekly?

Can you work nights?

YesNo

Employment desired*

Full-time onlyPart-time onlyFull-or-part time

When could you start?*

MonthDayYear

High School: Name

High School: Address

High School: Number of years completed

High School: Diploma?

College: Name of School

College: Address

College: Number of Years Completed

College: Major & Degree

Business or Trade School: Name

Business or Trade School: Address

Business or Trade School: Number of Years Completed

Business or Trade School: Major & Degree

Other School: Type

Other School: Name

Other School: Address

Other School: Number of Years Completed

Other School: Major & Degree

Have you ever been convicted of a crime?*

YesNo

If yes, explain number of convictions(s), nature of offense(s) leading to conviction(s0, how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

As employees will be driving company vehicles, please provide the following information.

Do you have a driver's license?*

YesNo

What is your means of transportation to work?*

Driver's license number

Expiration date

MonthDayYear

State of issue

Type of license

OperatorCommercial (CDL)Chauffeur

CDL Class

ABC

CDL Endorsements

Have you had any accidents during the past three years?*

YesNo

How many accidents?

Any moving violations during the past three years?*

YesNo

How many violations?

Typing

YesNo

Typing WPM

Personal Computer

YesNo

Which do you use the most?

Microsoft WindowsApple's OSX (MAC)Other

10 Key

YesNo

Word Processing

YesNo

Other Office Skills

Please list two personal references other than relatives or previous employers.

1: Full Name

First NameLast Name

1: Phone Number

Area CodePhone Number

1: Position

1: Company

1: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

2: Full Name

First NameLast Name

2: Phone Number

Area CodePhone Number

2: Position

2: Company

2: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Have you ever been in the Armed Forces?

YesNo

Branch of Service

Are you now a member of the National Guard and/or Active Duty Reserve?

YesNo

Specialty

Date Entered

MonthDayYear

Discharge Date

YYYY-MM-DD

1: Name of Employer

1: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

1: Phone Number

Area CodePhone Number

1: Name of Last Supervisor

1: Employment Start

MonthDayYear

1: Employment End

MonthDayYear

1: Starting Pay/Salary

1: Final Pay/Salary

1: Reason for leaving (be specific)

1: List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this job.

2: Name of Employer

2: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

2: Phone Number

Area CodePhone Number

2: Name of last supervisor

2: Employment Start

MonthDayYear

2: Employment End

MonthDayYear

2: Starting Pay / Salary

2: Final Pay / Salary

2: Reason for leaving (be specific)

2: List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this job.

3: Name of Employer

3: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3: Phone Number

Area CodePhone Number

3: Name of last supervisor

3: Employment Start

MonthDayYear

3: Employment End

MonthDayYear

3: Starting Pay / Salary

3: Final Pay / Salary

3: Reason for leaving (be specific)

3: List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this job.

4: Name of Employer

4: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

4: Phone Number

Area CodePhone Number

4: Name of last supervisor

4: Employment Start

MonthDayYear

4: Employment End

MonthDayYear

4: Starting Pay / Salary

4: Final Pay / Salary

4: Reason for leaving (be specific)

4: List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this job.

5: Name of Employer

5: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

5: Phone Number

Area CodePhone Number

5: Name of last supervisor

5: Employment Start

MonthDayYear

5: Employment End

MonthDayYear

5: Starting Pay / Salary

5: Final Pay / Salary

5: Reason for leaving (be specific)

5: List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this job.

May we contact your present employer?*

YesNo

Did you complete this application yourself?*

YesNo

If not, who completed this application?

First NameLast Name

Upload a resume or cover letter here:

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In exchange for the consideration of my job application by A-1 Plumbing & Emergency Rooter, (hereinafter called "the Company"), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an emloyee of Cutting Edge Plumbing & Mechanical or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Company. Both the undersigned and Cutting Edge Plumbing & Mechanical may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revice their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the company from any liability as a result of such contact.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

Acceptance of Terms*

I have read and agree with the above.

Date of Acceptance*

MonthDayYear

A-1 Plumbing & Emergecy Rooter is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Cutting Edge Plumbing & Mechanical depends solely on your qualifications.

It should be understood that A-1 Plumbing & Emergency Rooter is a Christian company. No employee is forced to be a Christian. However, we will give praise to our Lord frequently within the hearing of all or some employees, we will pray in public, the Bible and the Lord's words will be visible. If this is offensive to you in any way, then you should not join A-1 Plumbing & Emergency Rooter.

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Please verify that you are human*

Current Information

Education

Criminal History

Vehicle Driving

Complete If Applying For An Office Position

Two personal References

Military

Previous Work Experience

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Application Form Waiver