EMPLOYMENT APPLICATION
First Name
Middle Initial
Last Name
Address
How long at current address
Phone
Cell/Alt. Phone
Email
Years Experience
List any Licenses or Certificates
License Type
Date Issued
Expiration
Issuing Agency
Experience
Plumbing Repair
Plumbing Slabs
Plumbing Rough-In
Plumbing Trim
Natural Gas
Propane
Sprinkler Systems
Drain Cleaning
Electrical
HVAC
Other
Current Employment
Address
Phone
Years At Employer
Position
Rate of Pay
List Job Duties
May we contact
Previous Employer
Address
Phone
Years At Employer
Position
Rate of Pay
List Job Duties
May we contact
Previous Employer
Address
Phone
Years At Employer
Position
Rate of Pay
List Job Duties
May we contact
Desired Rate of Pay
Have you ever been convicted
of a crime
If yes please describe date
and incident
If Hired how soon can you start
Days Available For Work
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Would you Consider a
Weekend position
Yes
No
Will you work nights/night shift
Yes
No
Do you have a Drivers License
Yes
No
Do you have hand tools
Yes
No
Applying For
Hourly Position
Independent Contractor
*Independent Contractors must carry insurance and use own transportation.
Application for employment will remain on file for a period of 3-months. There is no need to re-apply during that time. By filling out this application you agree that all statements are accurate and understand that any inaccuracies later found will be grounds for termination. Prior to hiring all candidates will undergo an interview, drug screening, and be required to submit the
following documents: Drivers License, SS Card, Birth Certificate (or other form of I.D.)
.