Lic#286411  
   
Online Job Application
   
  Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin or handicap. We are an equal opportunity employer.
 

 
  First Name
 Middle Name
 Last Name
 Date
(01/01/00)
  Email
      
     
 
  Street Address

   Home Phone
  City, State, Zip


   Business Phone
  What was your previous address?
   How long at present address?
Years
Months
  Are you over 18 years of age? Yes     No
If not, employment is subject to verification of minimum legal age.

   How long at previous address?
 Years
Months

  Have you ever applied for employment with us?
Yes    No

If Yes: 
Month and Year
Location

  Social Security No.
  How did you learn of our organization?


    
  Are you legally eligible for employment in the United States?
Yes    No 		  When will you be available to work?

  Position Desired: Plumber       Foreman
Journeyman       Plumber
Laborer		 Journeyman       Installer
Apprentice       Plumber
Other
    

  Pay Expected
$
  Have you been convicted of a crime in the past ten years (excluding misdemeanors and summery offenses), which has not been annulled, expunged or sealed by a court?
Yes    No

If Yes, describe in full.


    
  Are there any reasons for which you might not be able to perform the job duties normally expected of a plumber (with reasonable accommodations)? Yes    No

If Yes, please explain


    
  Drivers License #
State
  Any Violations?
Yes    No
 
Education
School Name and Location of School Course
of study		 No. of
years
completed 		Degree or
Diploma
College
High
Trade
School
Other
         
  Military
COMPLETE THIS SECTION IF YOU SERVED IN THE U.S. ARMED FORCES Branch of Service
Describe your duties and any special training


 Period of Active Duty (Month & Year)
From
To
Rank at Discharge
 Date of Final Discharge
 
Employment History Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
History 1  
Company Name
 Telephone
Address
 Employed (State Month and Year)
From
To
Name of Supervisor
 Hourly Rate:
Start
Last
Start Job Title and Describe Your Work
 Reason for Leaving

History 2  
Company Name
 Telephone
Address
 Employed (State Month and Year)
From
To
Name of Supervisor
 Hourly Rate:
Start
Last
Start Job Title and Describe Your Work
 Reason for Leaving

History 3  
Company Name
 Telephone
Address
 Employed (State Month and Year)
From
To
Name of Supervisor
 Hourly Rate:
Start
Last
Start Job Title and Describe Your Work
 Reason for Leaving

History 4  
Company Name
 Telephone
Address
 Employed (State Month and Year)
From
To
Name of Supervisor
 Hourly Rate:
Start
Last
Start Job Title and Describe Your Work
 Reason for Leaving

History 5  
Company Name
 Telephone
Address
 Employed (State Month and Year)
From
To
Name of Supervisor
 Hourly Rate:
Start
Last
Start Job Title and Describe Your Work
 Reason for Leaving

We may contact the employers listed
above unless you indicate those you do not want us to contact.
DO NOT CONTACT
Employee Number(s)
Reason


REFERENCES: Give below the names of three persons not
related to you, whom you have known at least one year.
Name Address Business Years Acquainted

Signature

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatements or omissions of fact on this application may result in dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so.

If a report is obtained, you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.

Date       Signature
 

 


Can-Am Plumbing, Inc.
(925) 846-1833
151 Wyoming Street, Pleasanton, California 94566
License #286411