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JOB APPLICATION

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PERSONAL

NAME

STREET

CITY / TOWN

 

STATE

      

ZIP CODE

TELEPHONE

E-MAIL

REFERRED BY

DATE AVAILABLE

ARE YOU AVAILABLE FOR WORK EVERY DAY OF THE WEEK?
(WE WILL TRY TO REASONABLY ACCOMODATE EMPLOYEES WHO REQUIRE CERTAIN HOURS OR DAYS OFF BECAUSE OF RELIGIOUS BELIEFS OR PRACTICES).

    YES
    NO

 CHECK THE SHIFTS THAT YOU CAN WORK

  GRAVEYARD
DAYS
SWING
ROTATING

 HAVE YOU APPLIED WITH US BEFORE?

    YES
    NO

IF YOU HAVE APPLIED BEFORE, WHEN?

POSITION APPLIED FOR:

 FULL TIME

 PART TIME

  ACCOUNTING

  ALTERATION TECHNICIAN

  CUSTOMER SERVICE

  SERVICE TECHNICIAN

  ESTIMATING

  APPRENTICE

  HELPER

  DISPATCHER

  PURCHASING AGENT

  OTHER 

  WAREHOUSE

YEARS OF EXPERIENCE (choose from list)  

CRIMINAL RECORD
(CONVICTION OF A CRIME IS NOT AN AUTOMATIC BAR TO EMPLOYMENT.  FACTORS SUCH AS THE NATURE AND GRAVITY OF THE CRIME, THE LENGTH OF TIME SINCE THE CONVICTION AND / OR COMPLETION OF ANY SENTENCE, AND THE NATURE OF THE JOB FOR WHICH YOU APPLIED WILL BE CONSIDERED.)

DRIVING POSITIONS:
HAVE YOU EVER BEEN CONVICTED, PLEAD GUILTY OR NO CONTEST OR FORFEITED BOND OR BAIL FOR ANY CRIME OTHER THAN TRAFFIC VIOLATIONS?

   YES      NO


ie. PLED GUILTY TO, CONVICTED, ETC.

EMPLOYMENT HISTORY #1

EMPLOYER #1

STREET

CITY / TOWN

 

STATE

TELEPHONE

EXT.

 

SUPERVISOR

POSITION

START DATE

SALARY

TERMINATION  DATE

SALARY

REASON FOR LEAVING

DESCRIPTION OF DUTIES

EMPLOYMENT HISTORY #2

EMPLOYER #2

STREET

CITY / TOWN

 

STATE

TELEPHONE

EXT.

 

SUPERVISOR

POSITION

START DATE

SALARY

TERMINATION  DATE

SALARY

REASON FOR LEAVING

DESCRIPTION OF DUTIES

EDUCATION

NAME OF SCHOOL

YEARS ATTENDED (MM / DD / YY)

GRAD YES/NO

COURSE or MAJOR

G.P.A.

HIGH SCHOOL

FROM

 

 

 TO

COLLEGE

FROM

 

 

 TO

BUSINESS / TRADE SCHOOL

FROM

 

 

 TO

OTHER

FROM

 

 

 TO

EXPERIENCE ( * INDICATES COMMERCIAL)

TYPE OF BUSINESS

MERCHANT KNOWLEDGE

JOB SKILLS

OFFICE SKILLS

   WHOLESALE

   PLUMBING

   WAREHOUSE

TYPING (wpm)

   RETAIL

   HEATING

   TRUCK DRIVER

   10-KEY

   CONTRACTOR

   * HEATING

   PHONE SALES

   P.C.

OTHER

   * PLUMBING

OTHER

   SWITCHBOARD

OTHER

OTHER

OTHER

OTHER

PERSONAL REFERENCES
(WHOM YOU HAVE KNOWN AT LEAST 1 YEAR)
- SHOULD NOT INCLUDE EITHER EMPLOYERS OR RELATIVES -

NAME

COMPANY / POSITION

PHONE

NOTE:  VIGILANTE WILL CONTACT THE REFERENCES LISTED ABOVE

WHY ARE YOU APPLYING TO WORK FOR VIGILANTE?

 

Verrification and submittal

I authorize Vigilante Plumbing and Heating to conduct a background investigation in order to assess my eligibility for a position requiring a high level of reliability and trustworthiness. I authorize all persons who may have information relevant to this investigation to disclose it (including photocopies when requested) to Vigilante Plumbing and Heating or their agents, and I release all persons from liability on account of such disclosure I understand that the investigation may include verification of past employment, education, residential history, psychological makeup, criminal record check, work performance, disciplinary records and attendance records.

I certify that all of the statements made in this application are true and correct and that I have not misrepresented or withheld any information. I understand that the falsification of this information may result in immediate dismissal. I further acknowledge that any employment offered to me or which accept is employment at will and may be terminated by me or by the company at any time with or without cause or reason. I understand that any offer of employment may be contingent upon a background investigatlon which may include criminal, motor vehicle and/or previous employment. I hereby authorize all references and former employer listed on my employment application to give the company any and all information concerning my previous employment and any pertinent information they might have, personal or otherwise, and release all parties from any claims, causes of action, or liability from damages that may or could result from furnishIng such information to the company.

I understand that I may be required to submit to employment physical or other professional examinations, medical inquiries and/or urinalysis test for the presence of drugs and/or alcohol. I agree to such examinations, inquiries and/or testing at the company's expense. I authorize release of the results to the company and their
use to evaluate my suitability for employment. I also release the company from all liability arising out of or connected with any examinations, inquiries or testing.

I understand that I may resign or be terminated, without cause or noticed, at any time, unless otherwise stated in an employment contract. I also understand that unless otherwise stated in an employment contract, the company may change, withdraw and interpret other policies (including wages, hours and working conditions) as it deems appropriate.

This original application for employment will only be considered for 30 days.

I have read these statements. I have also reviewed all of the information provided in this application and any supporting information. Please click the "Submit" button if all of the above is true.                   vigplumber@aol.com