CKO Plumbing, Inc.
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.
 
  Last Name
First Name
Middle
  Date

(01/01/00)
  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

 

  How did you learn of our organization?


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


  Position Desired: Plumber Foreman
Journeyman 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


   
  Do you have a valid Drivers License #
Yes    No
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
 

Describe your duties and any special training
 


 
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

State 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

State 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

State 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

State 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

State 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: Please provide 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.


 Signature
      Date
     
 


 
Copyright © 2011 CKO Plumbing Services | Buffalo, NY | Phone: 716.912.6585 | Fax: 716.694.7056 | Email: info@ckoplumbing.com
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