Position Applying For (required)
Are you able to perform the essential functions of this position with or without reasonable accomodation? (required)Yes No
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" 0 1 2 3 4
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)Please choose One Resigned with notice Terminated Resigned without notice Currently employed
I have a second previous employer to enter
MISCELLANEOUS
May We Contact Your Previous Employer? (required)Yes No
How did you find out about 535 Plumbing? (required)
Do you know anyone currently working for 535 Plumbing? (required)Yes No
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!
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)
