Employment Application

Equal Opportunity Employer: The Company is an equal opportunity employer. Applicants are considered for positions without discriminating on the basis of race, color, religion, national origin, ancestry, sex (including gender identity or expression), sexual orientation, age, disability, genetic information, marital status, arrest and court record, credit history, reproductive health decision, domestic or sexual violence victim status, citizenship status, or any other characteristic protected by federal, state, or local law.

Position Applying For (required)

Are you able to perform the essential functions of this position with or without reasonable accomodation? (required)

YesNo

GENERAL INFORMATION

First Name (required)

Last Name (required)

Your Email (required)

Your Phone (required)

Address (required)

City (required)

State (required)

Zip Code (required)

EMPLOYMENT RECORD

STARTING WITH PRESENT or MOST RECENT, list all previous employers. Include self-employment, military service, summer, and part-time jobs.
Number of Previous Employers you will be entering. (required) If you have no previous employers, enter "0"

Previous Employer 1

Company Name (required)

Company Phone Number (required)

Company Address (required)

Company City, State, Zip Code (required)

Dates of Employment (required)

Supervisor's Name (required)

Position (required)

Duties (required)

Reason For Leaving Previous Job (required)

I have a second previous employer to enter

Previous Employer 2

Company Name (required)

Company Phone Number (required)

Company Address (required)

Company City, State, Zip Code (required)

Dates of Employment (required)

Supervisor's Name (required)

Position (required)

Duties (required)

Reason For Leaving Previous Job (required)

I have a third previous employer to enter

Previous Employer 3

Company Name (required)

Company Phone Number (required)

Company Address (required)

Company City, State, Zip Code (required)

Dates of Employment (required)

Supervisor's Name (required)

Position (required)

Duties (required)

Reason For Leaving Previous Job (required)

I have a fourth previous employer to enter

Previous Employer 4

Company Name (required)

Company Phone Number (required)

Company Address (required)

Company City, State, Zip Code (required)

Dates of Employment (required)

Supervisor's Name (required)

Position (required)

Duties (required)

Reason For Leaving Previous Job (required)

MISCELLANEOUS

May We Contact Your Previous Employer? (required)

YesNo

How did you find out about 535 Plumbing? (required)

Do you know anyone currently working for 535 Plumbing? (required)

YesNo

If you know someone working for us, then enter employee's name.

REFERENCES

Not family members. Two references required.

REFERENCE 1

Name (required)

Employer (required)

Position (required)

Phone Number (required)

REFERENCE 2

Name (required)

Employer (required)

Position (required)

Phone Number (required)

EDUCATION

HIGH SCHOOL

Name of School (required)

Address (required)

Number of Years Attended (required)

Degrees (required)

COLLEGE

Name of School

Address

Number of Years Attended

Degrees

OTHER (Graduate School, Trade School, etc.)

Name of School

Address

Number of Years Attended

Degrees

RESUME

Please upload Resume if Available. Mahalo!
PDF preferable. GIF/PNG/JPG also accepted, 6Mb limit

NOTE

It is the policy of this company to hire only U.S. citizens and aliens who are authorized to work in this country. (As a condition of employment, you will be required to produce original documents establishing your identity and authorization to work, and to complete the U.S. Immigration and Naturalization Service's Form I9.)

ACKNOWLEDGEMENT AND CERTIFICATION

By signing below, I certify that all statements made on this application are true and complete to the best of my knowledge. I understand that my application will not be considered if it is incomplete. Further, I understand that any misrepresentation or omission made herein, when discovered, may subject me to discharge. I authorize the Company to investigate my work history, education, character, reputation, and background as it deems necessary for the purposes of considering my application for employment. In exchange for the Company's consideration of my application for employment, I hereby release the Company and all providers of information (including, but not limited to, any of my former employers, educational institutions attended, and personal references) from all liability relating to or arising out of any inquiry by the Company regarding my work history, education, character, reputation, and background.
After an offer of employment is made, but before employment duties begin, applicants may be required to undergo a physical or medical examination (or drug test) at Company expense and by a Company-chosen physician, with the offer of employment conditioned on the result of such examination. Employees, at any time during the course of their employment, may be required to undergo a medical (or drug) examination at Company expense and by a Company physician. I agree to provide the Company with any authorization or release which may be required for a pre-employment medical examination or drug test.
This application is not a contract of employment and cannot create a contract of employment for any specific period. I understand that if I am employed, my employment is "at will" and can be terminated at any time, either by myself or the Company, with or without cause or reason and with or without notice. Only the President is authorized to modify the Company's at-will employment policy or enter into any agreement contrary to this policy. Any such modification must be in writing and signed by the employee and the President.
This application will only be considered for three months. I understand that if I have not been hired within three months of completing this application, and I still wish to be considered for employment, I must complete another application.

By entering my full name below, I acknowledge that I have read and agree to all of the stipulations above. My name entered below bears the full weight of my signature.

Applicant Signature (required)

Application Date (required)

Company Email