We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

1. What position are you applying for?   

2. How did you learn about us?   

3. PERSONAL INFORMATION

    Last Name:   

    First Name:   

    Middle Name:   

    Address:                       

    City:   

    State:            Zip Code:    

    E-Mail Address

4. HOW CAN WE REACH YOU?

    Daytime phone number:    Area Code:         

    Evening phone number:    Area Code:        

    Best time to contact you?   

5. OTHER INFORMATION

    If you are under 18 years of age, can you provide required proof of your eligibility to work?    Yes    No

    Have you ever filed and application with us before?     Yes     No

            If Yes, give date:

    Have you ever been employed with us before?    Yes    No

            If Yes, give date:

    Do any of your friends or relatives, other than spouse, work here?    

            Yes     No

            If Yes, state name and relationship:

    Are you currently employed?    Yes    No

    May we contact your present employer?    Yes    No

    Are you prevented from lawfully becoming employed in the United States because of Visa or  Immigration Status?    Yes    No

    Date available to work?

    What is your desired salary range?

    What hours are you available to work?

6. EDUCATION

    Highest level of education completed:    

    Year Completed?

    Other Education:

       

7. WORK EXPERIENCE


Present Job

    Employer     May We Contact?    Yes    No

    Address

    City     State     Zip Code

    Phone Number:    Area Code    

    Reason for Leaving? 

    Dates Employed:    From    To

    Pay:    Starting    Final   


Previous Job 1

    Employer     May We Contact?    Yes    No

    Address

    City     State     Zip Code

    Phone Number:    Area Code    

    Reason for Leaving? 

    Dates Employed:    From    To

    Pay:    Starting    Final   


Previous Job 2

    Employer     May We Contact?    Yes    No

    Address

    City     State     Zip Code

    Phone Number:    Area Code    

    Reason for Leaving? 

    Dates Employed:    From    To

    Pay:    Starting    Final   


Previous Job 3

    Employer     May We Contact?    Yes    No

    Address

    City     State     Zip Code

    Phone Number:    Area Code    

    Reason for Leaving? 

    Dates Employed:    From    To

    Pay:    Starting    Final   

 

9. PERSONAL/PROFESSIONAL REFERENCES


Reference 1

    Name:     Occupation:

    Phone Number:    Area Code   

    Best Time to Call?


Reference 2

    Name:     Occupation:

    Phone Number:    Area Code   

    Best Time to Call?


Reference 3

    Name:     Occupation:

    Phone Number:    Area Code   

    Best Time to Call?

9. Describe any specialized training, apprenticeship, skills and extracurricular activities.

   

10. Comments

   

 

BY SUBMITTING THIS APPLICATION

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days.  Any applicant wishing to be considered for employment beyond this period of time should inquire as to whether or not applications are being accepted at this time.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the employer.

 

Thank you for completing this application.

 



429 Texas St. Redlands,
Ca 92374
(909) 335-0535 Ext:272
1(800)25-PLUMBER
Hours:
Monday-Friday      8:00am-5:00pm
Saturday              8:00am-4:00pm