Job Application

Job Application Form

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Major Plumbing Co. Inc. Application for Employment
Instructions: Please fill out the application completely even if you attach a resume. Please be aware that applications can only be accepted for current openings. Qualified appllicants will receive equal consideration. No question is asked for the purpose of excluding any applicant on the basis of race, color, national origin, religion, age, sex/gender, disability or any other factor prohibited by law or regulation.
Date*
Date Format: MM slash DD slash YYYY
Click the "Select Files" Button to Upload a .PDF Resume (optional)
Drop files here or

Accepted file types: pdf.
Personal Information
Full Legal Name*
First Middle Last
Other Names You Are Know By
Cell Phone*
Home/Alternate Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Possess a Valid California Driver's License?*
Are You at Least 18 Years Old?*
Fluent in Any Languages Other Than English?*
If Yes, What Language? (*Type N/A in the text box below, if This Question Does Not Apply)*
Can You Provide Documented Proof of U.S. Citizenship or, if Alien, Proof of Authorization to Work in the United States?*
Have You Ever Been Convicted of Any Law Violation, Expect a Minor Traffic Violation? (A Criminal Record Does Not Automatically Bar Employment)*
If Yes, Describe Convictions of Any Law Violations. (*Type N/A in the text box below, if This Question Does Not Apply)*
If Requested, Would You Be Willing to Take a Drug/Alcohol Screening Exam as a Condition of Employment?*

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Desired Employment
Position Applying For*
Desired Salary (Salary or Hourly Rate)*
Please enter a number from 0 to 300000.
Employment Availability
Date Available to Start Work*
Date Format: MM slash DD slash YYYY
Availability for Work*
- Select All
- Full Time
- Part Time
- Temporary
Desired Shift(s)*
- Select All
- Day
- Night
- Swing/Alternating
- Willing to Work Any Shift
Willing to Work Overtime During the Weekdays?*
Willing to Work Overtime During the Weekends?*

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Employment Information
Currently Employed?*
If Currently Employed, May We Contact Your Current Employer?*
Have You Applied for a Position with Major Plumbing Co. Inc. Before?*
Have You Worked for Major Plumbing Co. Inc. Before?*
If Yes, What Was the Start Date of Your Employment with Major Plumbing Co. Inc.? (*Type N/A in the text box below, if This Question Does Not Apply)*
Any Ongoing Obligations or Other Personal Commitments that Would Affect Your Work Schedule?*
If Yes, Describe the Ongoing Obligations or Other Personal Commitments. (*Type N/A in the text box below, if This Question Does Not Apply)*
Have You Received Disciplinary Action(s) at Work or Been Terminated from a Position/Job?*
If Yes, Describe the Disciplinary Action(s) or Termination(s). (*Type N/A in the text box below, if This Question Does Not Apply)*

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Education & Training
High School Name
High School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Years Attended High School
Please enter a number from 0 to 6.
Graduated High School?
High School Major Subjects/Special Courses
College/University/Trade School/Other Education Name
College/University/Trade School/Other Education Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Years Attended College/University/Trade School/Other Education
Please enter a number from 0 to 6.
Graduated College/University/Trade School/Other Education
College/University/Trade School/Other Education Major Subjects/Special Courses

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Military Service
Military Branch (*Type N/A in the text box below, if This Question Does Not Apply)
Military Service Start Date
Date Format: MM slash DD slash YYYY
Military Service End Date
Date Format: MM slash DD slash YYYY
Rank at Discharge
Type of Discharge
If Other Than Honorable, Explain:

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Employment History (Do Not indicate "See Resume")
Give a complete account of your employment, including salary history. List your present or most recent employment/position first and work back.
Employer Name (Current or Most Recent Previous Employer)*
Employer Phone (Current or Most Recent Previous Employer)*
Employer Address (Current or Most Recent Previous Employer)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Start Date (Current or Most Recent Previous Employer)*
Date Format: MM slash DD slash YYYY
Job End Date (Current or Most Recent Previous Employer)*
Date Format: MM slash DD slash YYYY
Starting Salary (Current or Most Recent Previous Employer)*
Please enter a number from 0 to 300000.
Ending Salary (Current or Most Recent Previous Employer)*
Please enter a number from 0 to 300000.
Supervisor's Name (Current or Most Recent Previous Employer)*
First Last
Supervisor's Job Title/Position (Current or Most Recent Previous Employer)*
Job Title/Position (Current or Most Recent Previous Employer)*
Job Related Duties (Current or Most Recent Previous Employer)*
Reason for Leaving Position/Job (Current or Most Recent Previous Employer)*
What Did You Like About the Job? (Current or Most Recent Previous Employer)*
What Did You Dislike About the Job? (Current or Most Recent Previous Employer)*

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Employer Name (Previous Employer)
Employer Phone (Previous Employer)
Employer Address (Previous Employer)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Start Date (Previous Employer)
Date Format: MM slash DD slash YYYY
Job End Date (Previous Employer)
Date Format: MM slash DD slash YYYY
Starting Salary (Previous Employer)
Please enter a number from 0 to 300000.
Ending Salary (Previous Employer)
Please enter a number from 0 to 300000.
Supervisor's Name (Previous Employer)
First Last
Supervisor's Job Title/Position (Previous Employer)
Job Title/Position (Previous Employer)
Job Related Duties (Previous Employer)
Reason for Leaving Position/Job (Previous Employer)
What Did You Like About the Job? (Previous Employer)
What Did You Dislike About the Job? (Previous Employer)

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Employer Name (Previous Employer)
Employer Phone (Previous Employer)
Employer Address (Previous Employer)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Start Date (Previous Employer)
Date Format: MM slash DD slash YYYY
Job End Date (Previous Employer)
Date Format: MM slash DD slash YYYY
Starting Salary (Previous Employer)
Please enter a number from 0 to 300000.
Ending Salary (Previous Employer)
Please enter a number from 0 to 300000.
Supervisor's Name (Previous Employer)
First Last
Supervisor's Job Title/Position (Previous Employer)
Job Title/Position (Previous Employer)
Job Related Duties (Previous Employer)
Reason for Leaving Position/Job (Previous Employer)
What Did You Like About the Job? (Previous Employer)
What Did You Dislike About the Job? (Previous Employer)

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References
Reference #1 Name*
First Last
Reference #1 Phone*
Reference #1 Title/Position*
Reference #1 Relationship to You*

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Reference #2 Name*
First Last
Reference #2 Phone*
Reference #2 Company of Employment*
Reference #2 Title/Position*
Reference #2 Relationship to You*

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Reference #3 Name*
First Last
Reference #3 Phone*
Reference #3 Company of Employment*
Reference #3 Title/Position*
Reference #3 Relationship to You*

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Certificate of Applicant (Read Carefully Before Clicking the Consent Checkox/Signing)
I certify that all information provided on this application is true, accurate and correct to the best of my knowledge. I understand omissions or misrepresentations may result in rejection of my application or if employed, may result in subsequent dismissal. I hereby authorize all former employers, education institutions, personal references and other identified hereon, including their employees or representatives, to furnish or provide full and complete reports, documents or information to Major Plumbing Co. Inc. or its representative concerning my prior educational and work histories, criminal and driving records, or other information I have provided. I waive, release, indemnify and hold harmless Major Plumbing Co. Inc. and its employees and representatives and all other persons or entities from all liability and all claims of any nature whatsoever pertaining to the disclosure or use of information or written material as described above. I understand this is a preliminary application and not a contract to employ me. Furthermore, in the event I am employed, my employment shall be completely voluntary and may be terminated at will at any time by either myself or the company. I understand that any employment agreement to the contrary must be in writing and approved by the company's President or Vice President. If employed, I agree to comply with all the rules of the company as a condition of continued employment.
"Certificate of Applicant" Verification*
I agree to the "Certificate of Applicant"
By checking the box above, I hereby agree to the "Certificate of Applicant" stated in the section above. Checking the box serves as my signature of consent.
Electronic Signature*
First Last
By typing my name in the box above, I hereby agree to the "Certificate of Applicant" stated in the section above. Typing my name serves as my signature of consent.
Authorization, Waiver and Release of Liability For Employment Related Background Investigations (Read Carefully Before Clicking the Consent Checkox/Signing)
In applying for employment with Major Plumbing Co. Inc., I hereby authorize Major Plumbing Co. Inc. and/or any designated agent(s) including any consumer reporting agency(s) on Major Plumbing Co. Inc.’s behalf, to conduct any desired background investigation(s) of my personal history as allowed by law, and to obtain and review any criminal and civil court findings, consumer credit report(s), and/or any investigative consumer report(s) in conjunction with said investigation(s) at any time and any number of times, as Major Plumbing Co. Inc. in its sole discretion determines is necessary for any employment-related purpose, before, during or after my employment. I understand the nature and scope of said inquiries may include, but is not limited to, verification, inspection and/or reporting of any lawfully available records or information pertaining to work history; education; worker’s compensation history, criminal and civil court related actions; driving history (including traffic related offenses); personal financial status including consumer credit reports; and any other information available from any public or otherwise documented record(s) and/or from any past or present business, professional or personal associates, pertaining to, but not limited to, my work history, character, ethics, mode of living and general reputation. It is my understanding the information being obtained will not be used in violation of any federal or state equal opportunity law or regulation, and that before any adverse action is taken upon review of a consumer report and/or investigative consumer report, I will be provided with a copy of said report as well as a summary of consumer’s rights. I hereby fully release, Major Plumbing Co. Inc. and any of its employees, directors, agents, successor and assigns, any contributing parties or sources from whom any information is obtained, from any and all claims, actions or liability whatsoever which is in any way related to this or any subsequent investigations of my personal history. I hereby state that all information provided to me by Major Plumbing Co. Inc., in any form, is to the best of my knowledge, true, correct and complete. I also understand that any known deletion of information or misrepresentation by me to Major Plumbing Co. Inc. will exclude me from further consideration as a candidate for employment or advancement, and may result in termination of my employment with Major Plumbing Co. Inc. if I am hired and or advanced by said Major Plumbing Co. Inc. before such misrepresentation or deletion is identified. I understand that acceptance of any other offer does not create a contractual obligation to Major Plumbing Co. Inc. to continue to employ me in the future, and that employment is for no definite period and may be terminated at any time either by myself or Major Plumbing Co. Inc. without previous notice.
"Authorization, Waiver and Release of Liability For Employment Related Background Investigations" Verification*
I agree to the "Authorization, Waiver and Release of Liability For Employment Related Background Investigations"
By checking the box above, I hereby agree to the "Authorization, Waiver and Release of Liability For Employment Related Background Investigations" stated in the section above. Checking the box serves as my signature of consent.
Electronic Signature*
First Last
By typing my name in the box above, I hereby agree to the "Authorization, Waiver and Release of Liability For Employment Related Background Investigations" stated in the section above. Typing my name serves as my signature of consent.
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Comments
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JOB APPLICATION

Job Application Form

Step 1 of 12

Major Plumbing Co. Inc. Application for Employment

Personal Information

Desired Employment

Employment Availability

Employment Information

Education & Training

Military Service

Employment History (Do Not indicate "See Resume")

References

Certificate of Applicant (Read Carefully Before Clicking the Consent Checkox/Signing)

Authorization, Waiver and Release of Liability For Employment Related Background Investigations (Read Carefully Before Clicking the Consent Checkox/Signing)