SPH Application

Please answer the following:*

	Yes	No
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever filed an application with us before?
Have you ever been employed with us before?
Are you currently employed?
May we contact your present employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Are you currently on “lay-off” status and subject to recall?
Can you travel if a job requires it?

On what date would you be available for work?*

MonthDayYear
Are you available to work:*

Full TimePart TimeTemporary/Seasonal
Have you been convicted of a felony within the last 7 years?*

No
NOTE TO APPLICANTS: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING. Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?*

YesNo
Education and Training

Formal Education*

Foreign Language Proficiency

Describe any specialized training, apprenticeship, skills & extra-curricular activities:
Describe any job-related training received in the United States military:
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
Equipment Experience
List any equipment you are experienced with. (e.g. Trencher, Backhoe)

Trade Skills (Rank you skill level 1-5. With 5 being an expert)*

	1	2	3	4	5
Blue Print Reading
Refrigeration brazing
Troubleshooting furnaces
Troubleshooting refrigeration equipment
Building ductwork
Faucet/toilet repair/replacement
Sewer machine operation
Welding- pipe line
Welding- flat
Welding- tig
Welding- wire
PEX
PVC
Cast Iron Pipe

EMPLOYMENT EXPERIENCE

Start with your present or last job, Include any job-related military service assignments and volunteer activities.You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer (Most recent)*

Employer (2nd Most Recent)*

Employer (3rd Most Recent)*

Reference #1*

Reference #2*

Reference #3*

State any additional information you feel may be helpful to us in considering your application:
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer.*

Yes, I understand and accept the above statement.
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Street Plumbing Heating & Electric Inc.