Employment Application Employment ApplicationPersonal InformationFull Name *Address *Birthdate *Phone *Position(s) applying for *If hired, on what date can you start working? *Are you available to work overtime? *YesNoSalary/Hourly Rate Desired: *If hired, would you have transportation to/from work? *YesNoAre you over the age of 18? (If under 18, hire is subject to verification of minimum legal age) *YesNoIf hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? *YesNoIf hired, are you willing to submit to and pass a controlled substance test? *YesNoAre you able to perform the essential functions of the job for which you are applying, either with/without reasonable accommodation? *YesNoIf no, describe the functions that cannot be performed: (Note: company complies with the ADA and consider reasonable accommodation measures that may be necessary for eligible applications/employees to perform essential functions.)Have you ever been convicted of a criminal offense (felony or misdemeanor)? *YesNoIf yes, please describe the crime- state nature of the crime(s), when and where convicted and disposition of the case: (Note: no applicant will be denied employment solely on the grounds of conviction of a criminal offense.)Education, Training, & ExperienceName of high school you attended *Years attended *Did you graduate? *YesNoName of college you attended (if applicable) Years attended (if applicable) Did you graduate? YesNoName of Trade, Business, or Correspondence School (if applicable) Years attended (if applicable) Did you graduate? YesNoWork History (latest first)Work History #1 (Latest)Name of Employer *Name of Supervisor *Position *Date Started *Date Ended *Reason for leaving *May we contact? *YesNoWork History #2Name of Employer Name of Supervisor Position Date started Date ended Reason for leaving May we contact? YesNoWork History #3Name of Employer Name of Supervisor Position Date started Date ended Reason for leaving May we contact? YesNoReferencesReference #1Name *Phone Number *Occupation *Years Acquainted *Reference #2Name *Phone Number *Occupation *Years Acquainted *Reference #3Name *Phone *Occupation *Years Acquainted *Signature By my electronic signature below, I certify that all the statements herein are true and correct to the best of my knowledge and that any falsifications or willful omission on this application shall be sufficient cause for dismissal from or refusal of employment.Full Name *Date * VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: DOWNTOWN - FAN NORTHSIDE SOUTHSIDE WEST END Menu HomeAbout UsAbout UsAreas We ServeStaff/TechniciansCustomer ReviewsSpecials/PromotionsCareer OpportunitiesPlumbing ServicesPlumbing InstallationPlumbing RepairSewer Line RepairWater Heater ServiceDrain CleaningBackflow PreventionTankless Water HeatersTub & Shower RepairBoiler ServicesBoiler InstallationHVAC ServicesA/C RepairA/C InstallationHeating RepairHeating InstallationHeat Pump InstallationGas Furnace InstallationPreventative MaintenanceEmergency AC RepairNewsContact Get A Free Quote Call for 24 Hour Emergency Service 804-358-6322804-358-6322