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Employment
How To Apply
Fill out the application form online below.
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GENERAL
Name
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Address
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Street Address
Address Line 2
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State
ZIP Code
Email
(Required)
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Telephone
(Required)
Social Security Number
(Required)
Date available for employment
MM slash DD slash YYYY
If employed and under 18, can you furnish a work permit?
Yes
No
Have you ever been employed by this company?
Yes
No
Are you currently employed?
Yes
No
May we contact your present employer?
Yes
No
Please provide current employer name & telephone number if we may contact.
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?
Yes
No
Type of work desired
Do you have a valid driver's license in this state?
Yes
No
Licence number
(Required)
Can you perform the essential functions of the job(s) for which you are applying?
Yes
No
Are you available for work:
Full-Time
Part-Time
Over-Time
Have you ever been convicted of a felony?
Yes
No
(Please note that a "YES" answer will not bar you from consideration for employment)
if Yes, please explain:
This company is an equal employment opportunity employer. All applicants will be considered without regard to age, color, national origin, disability, sex, or other protected status in accordance with applicable federal and state equal employment opportunity laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential function of a job.
EDUCATION
ELEMENTARY
School Name & Address
Years Completed
Course of Study
SECONDARY
School Name & Address
Years Completed
Course of Study
COLLEGE
School Name & Address
Years Completed
Course of Study
GRADUATE
School Name & Address
Years Completed
Course of Study
Special skills, qualifications and considerations:
Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking:
REFERENCES
List three non-relatives who are familiar with your qualifications and actual work history and ability.
Name
(Required)
Occupation/Relationship
(Required)
Years Known
(Required)
Telephone
(Required)
Name
(Required)
Occupation/Relationship
(Required)
Years Known
(Required)
Telephone
(Required)
Name
(Required)
Occupation/Relationship
(Required)
Years Known
(Required)
Telephone
(Required)
EMPLOYMENT EXPERIENCE
Add Previous Employment History
Employer
Date Employment Ended
Date Employment Started
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PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. FI YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK EMPLOYER BEFORE SIGNING.
I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. I understand that any false information will be grounds for refusal to hire or for immediate discharge if I am employed. I authorize any of the persons or organizations names in this application to give you complete information and records regarding my employment, education, character and qualifications.
Yes
No
If hired I will be responsible for familiarizing myself with all rules and regulations of Keith McNeill Plumbing Cont. Inc. as they presently exist or are later modified. If hired Irecognize that my employment can be terminated, at the discretion of Keith McNeill Plumbing Cont. Inc. or at my option, without notice, at any time, except as specifically set forth in writing in a current individual employment agreement.
Yes
No
I also understand that no representative of Keith McNeill Plumbing Cont. Inc. has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the President.
Yes
No
I understand this application is not an offer of employment and no promises or representatives of employment have been made to me at this time.
Yes
No
Terms and Conditions
(Required)
I have read, understand, and agree with the statements above.
(Required)
This application is valid for only ninety (90) days from the date Isigned. If I want to be considered forjob openings more than ninety(90) days from date signed, I will submit a new application.
Signature of Applicant
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