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Please fill out the following form as completely as possible. However, fields marked with a * are required.

 Personal Information:
       

Last Name: *

First Name: *

Middle Name: *


Permanent Address: *
 City: *
 State: *
 Zip: *
 Daytime Phone: *
 Placement Information:

Position Desired: *

Today's Date: *

Date Available for Work: *

Applying for: *

Number of Hours Desired: *

Have You Applied Here Before? *

Have You Interviewed Here Before? When? *

Are You At Least 18 Years Old? *
 Please Indicate The Hours You Are Available To Work: If you are not available on a certain day, please state so.
Monday *
Tuesday *
Wednesday *
Thursday *
Friday *
Saturday *
Sunday *
 Work Experience:

 List all current and prior employment starting with your most recent position. Account for any time during this period in which you were unemployed by   stating the nature of your activities. You must fill this section out even if you are submitting a resume.
Employer:
Dates:
From:
To:     		Position/Title:
Supervisor:
Address:
  Duties Performed:
Phone:
Reason for Leaving:

Starting Pay:
Final Pay:    

  May We Contact?
Employer:
Dates:
From:
To:     		Position/Title:
Supervisor:
Address:
  Duties Performed:
Phone:
Reason for Leaving:

Starting Pay:
Final Pay:    

  May We Contact?
Employer:
Dates:
From:
To:     		Position/Title:
Supervisor:
Address:
  Duties Performed:
Phone:
Reason for Leaving:

Starting Pay:
Final Pay:    

  May We Contact?
 General Information:
1. Why do you want to work for Waterworks Plumbing.? *
2. What is the strength you will bring to our company? Please explain. *
3. What is your greatest weakness? *
4. What accomplishment is your greatest source of pride? *
5. Do you have any friends/family that work or have worked for Greenview Svcs? If yes, who? *
6. Have you ever been convicted of a crime? Please explain. *
7. Do you plan to go to school in the future? Where? When? *
8. What do you see yourself doing in three years? *
9. What do you do in your spare time? *
 Education Information:
Type of School:
Name & Location of School:
Degree/Area of Study:
# of Years Attended:
Graduated?
High School


GPA:
College


GPA:

Other

GPA:
 References:
  Give below the names of three persons not related to you, whom you have known at least one year and can give accurate information about   your experience. You must list at least one business reference if possible.
Name: *
Phone Number: *
Business or Personal Relationship: *
Years Acquainted: *

Statement of Accuracy :

I hereby affirm that the information given by me on this application for employment is complete and accurate. I understand that any falsification or material omission of information may be sufficient reason not to hire me and may be grounds for dismissal if I am hired. I authorize Waterworks Plumbing. to contact any references, former employers and educatedinstitutions listed above to provide any and all information in connection with this application.
I understand that Waterworks Plumbing. is in no way obligated to provide employment and that I am in no way obligated to accept employment with the company. Nothing in this application or in other policies and procedures are intended to create a contract of employment, expressed or implied. If I am hired, I agree that my employment and compensation can be terminated with or without cause and with out notice at any time by Waterworks Plumbing. and nothing shall restrict my rights as an employee to terminate my employment at any time.
If I am hired, I understand that I am required to abide by all rules and regulations of Waterworks Plumbing. and that the policies and procedures relation to conditions of employment are subject to modification at any time. I further understand that Waterworks Plumbing. may test its employees for drugs on a random basis.

By clicking the "Submit" button, I attach my digital signiture to this document and have read, understood, and agree to the above terms/conditions.

Your Email: *

          Date: *
 
 
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