ONLINE JOB APPLICATION

Step 1 of 3

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Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Email
Driver's Liscense #
State Issued
List any tickets or accidents you may have had in the last 5 years.
Plumbing is a construction trade requiring a certain degree of stamina and physical health. This job may require some heavy lifting (i.e., cast iron tubs-with the help of a partner, water heaters, etc.), climbing tall ladders to install flashings on roofs of one, two, even three story houses and working in small or confined spaces on a daily basis. Are you aware of any conditions, physical or otherwise, that might be considered a factor in your ability to perfo1m fully in this capacity (i.e., chronic back problems, fear of heights, etc.)?
Position Desired
Annual Salary Desired
Date you would like to start work:
Are you currently employed?
- YES
- NO
May we contact your current employer?
- YES
- NO
Have you ever applied at Don Wood Plumbing?
- YES
- NO
When did you apply at Don Wood Plumbing?
Name and Location of last school attended?
Last Grade Level Completed:
List any Special Skills or Studies that you have completed?

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Current or Previous Employer
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor's Name
First Last
Position
Annual Salary
What is the reason you left or are leaving this position?
Start Date
End Date
2nd Previous Employer
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor's Name
First Last
Position Title
Annual Salary
What is the reason you left this position
Start Date
End Date
3rd Previous Employer
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor's Name
First Last
Position Title
Annual Salary
What is the reason you left this position?
Start Date
End Date

References
Names of three persons not related to you, whom you have known at least one year.
List
Name Phone # Job # of Years Known
Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statementscontained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information."
Signature
By typing your name in this box you agree to the authorization statement above.
* As of July 1, 2000
Don Wood Plumbing Company, Inc. is committed to providing a drug-free work environment for the health and well being of its valued employees. Our policy formally and clearly states that the illegal use of drugs or the abuse of alcohol will not be tolerated. As a means of maintaining that policy, we have implemented preemployment and active employee substance abuse testing. Don Wood Plumbing Company will not discriminate against applicants for employment because of a past history of drug or alcohol abuse. It is the current illegal use of drugs and/or abuse of alcohol, preventing employees from performing their jobs properly and/or endangering the safety of others that this Company will not tolerate. Prospective employees will be asked to submit to a voluntary urinalysis screening for substance abuse at a laboratory chosen by Don Wood Plumbing Company, Inc., and by signing a consent agreement will release this company from liability. Any applicant with a confirmed positive test result will not be considered for employment. All new employees will be given a complete copy of the Substance & Abuse Policy and Procedures for their records.
Drug-Free Workplace
I have read and fully understand, that participation in the "Drug-Free Workplace" policy is a condition of my employment and agree to abide by the conditions and procedures of this policy in the event of my employment with Don Wood Plumbing Company, Inc.
Signature
By typing your name in this box you agree to the Drug-Free Workplace statement above.

ONLINE JOB APPLICATION

Step 1 of 3

Current or Previous Employer

2nd Previous Employer

3rd Previous Employer

References

Authorization

* As of July 1, 2000

Drug-Free Workplace

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