APPLICATION FOR
EMPLOYMENT AT BULLDOG PLUMBING
INSTRUCTIONS: PRINT CLEARLY IN BLACK OR BLUE INK. ANSWER ALL QUESTIONS.
CONTACT INFORMATION:
NAME: __________________________________________________________
SOCIAL SECURITY# ___________________________________________________
WA PLUMBER / TRAINEE # ______________________________________________
ADDRESS: __________________________________________________________
__________________________________________________________
PHONE # _________________________________________
POSITION APPLYING FOR: _____________________________________________
Full-time ______ Part-time _______ Temporary _______
DESIRED STARTING WAGE: ________________
IF YOU ARE A MINOR UNDER THAT AGE OF 18, DO YOU HAVE A CERTIFICATE OF AGE OR EMPLOYMENT? Yes _______ No ________
DO YOU HAVE ANY FELONY CONVICTIONS? Yes _______ No ________
IF YES, WHAT?__________________________________________________________
________________________________________________________________________ (This information does NOT bar employment opportunity; it is needed for information for job site specific placement only.)
EDUCATION
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SCHOOL |
TOWN |
GRADUATION DATE |
DEGREE |
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SPECIAL SKILLS AND QUALIFICATIONS: List job-related licenses, skills, training, honors, awards, and special accomplishments.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
EMPLOYMENT HISTORY: (Start with present or most recent position)
EMPLOYER: ____________________________________________________________
ADDRESS: ____________________________________________________________
____________________________________________________________
SUPERVISOR: _______________________ PHONE # _________________________
POSITION TITLE: ____________________ SALARY: ___________
DATES: __________ TO ___________
DUTIES: ____________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
REASON FOR LEAVING: _________________________________________________
EMPLOYER: ____________________________________________________________
ADDRESS: ____________________________________________________________
____________________________________________________________
SUPERVISOR: _______________________ PHONE # _________________________
POSITION TITLE: ____________________ SALARY: ___________
DATES: __________ TO ___________
DUTIES: ____________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
REASON FOR LEAVING: _________________________________________________
EMPLOYER: ____________________________________________________________
ADDRESS: ____________________________________________________________
____________________________________________________________
SUPERVISOR: _______________________ PHONE # _________________________
POSITION TITLE: ____________________ SALARY: ___________
DATES: __________ TO ___________
DUTIES: ____________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
REASON FOR LEAVING: _________________________________________________
IF YOU ARE CURRENTLY EMPLOYED, MAY WE CONTACT YOUR PRESENT EMPLOYER? Yes ญญ_________ No _________
REFERENCES:
1. NAME / TITLE: ______________________________________________________
PHONE NO. ______________________ OCCUPATION:______________________
2. NAME / TITLE: ______________________________________________________
PHONE NO. ______________________ OCCUPATION:______________________
3. NAME / TITLE: ______________________________________________________
PHONE NO. ______________________ OCCUPATION:______________________
I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT ANY FALSE INFORMATION ON THIS APPLICATION MAY BE GROUNDS FOR NOT HIRING ME.
DATE: ____________________ SIGNATURE: _______________________________
PLEASE SEND YOUR APPLICATION TO:
MAIL: BULLDOG
PLUMBING, 3310 S SPRAGUE #Q1764,
FAX: (253) 472-0190
EMAIL: EMPLOYMENT@BULLDOGPLUMBING.COM