JOB APPLICATION

JOB APPLICATION
HydroTech Plumbing LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:
Applicant Name

First NameLast Name
Address
City State and Zip Code
Telephone Number
Format: (000) 000-0000.
Email Address
example@example.com
DOB

MonthDayYear
Date
YesNo
If yes list DL# and state issued
YesNo
List any accidents or motor vehicle violations you have had in the last 5 years
Employment Position
Apprentice Plumber (with or without experience)Tradesman PlumberJourneyman PlumberMaster Plumber
YesNo
If yes, please please list which license you have and the license #
How did you hear about this position
YesNo
On what date can you start working if you are hired

MonthDayYear
Date
YesNo
Personal Information
YesNo
YesNo
What document can you provide as proof of citizenship or legal status
YesNo
If yes please describe accommodations required below
(Note: HydroTech Plumbing LLC complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions)
YesNo
If yes please state the nature of the crimes when and where convicted and disposition of the case
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered
Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying:
Education and Training

High School
Name
Location (City, State)
Year Graduated
Degree Earned
Vocational School/Specialized Training
Name
Location (City, State)
Year Graduated
Degree Earned
Military
YesNo
What branch of the military did you enlist
What was your military rank when discharged
How many years did you serve in the military
Previous Employment

Starting with the most current
#1 Employer Name
Job Title
Supervisor Name

First NameLast Name
Employer Address
Employer Telephone
Format: (000) 000-0000.
Dates Employed
Reason for leaving
#2 Employer Name
Job Title
Supervisor Name

First NameLast Name
Employer Address
Employer Telephone
Format: (000) 000-0000.
Dates Employed
Reason for Leaving
#3 Employer Name
Job Title
Supervisor Name

First NameLast Name
Employer Address
Employer Telephone
Format: (000) 000-0000.
Dates Employed
Reason for leaving
AT-WILL EMPLOYMENT
The relationship between you and the HydroTech Plumbing LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the HydroTech Plumbing LLC. No representative of HydroTech Plumbing LLC has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
Applicant Signature
Date

MonthDayYear
Date
Should be Empty:

JOB APPLICATION

Employment Position

Personal Information

Job Skills/Qualifications

Education and Training

Military

Previous Employment

AT-WILL EMPLOYMENT