Application for Employment

Please complete this application.

BASIC INFORMATION

First Name *

Last Name *

Email *

Phone *

Address

Street Address *

City *

State *

Country *

Enter your country

Postal Code *

Position Applied For *

Date Available to Start *

Desired Salary

$

Are you legally eligible to work in the United States?

Yes

No

Have you ever been convicted of a felony?

Yes

No

EDUCATION - High School or Equivalent

Level of Education Completed *

Institution Attended (City, State) *

Did you graduate? *

Yes

No

Certificates Obtained *

Degree Obtained *

College or Equivalent

Level of Education Completed

Institution Attended (City, State)

Did you graduate?

Yes

No

Certificate Obtained

Degree Obtained

Additional Education or Training

Company 1

Level of Education Completed

Institution Attended (City, State)

Did you graduate?

Yes

No

Certificates Obtained

Degree Obtained

Do you hold any certificates, licenses, or other qualifications relevant to this position?

Do you have experience with CRM (Customer Relationship Management) software?

Yes

No

Do you have experience with Microsoft 365 (Outlook, Word, Excel, etc)?

Yes

No

Work Experience

Company Name *

Position Title *

Start Date *

End Date *

Position Duties *

Starting Salary *

$

Reason for Leaving *

May we contact your previous supervisor for a reference? *

Yes

No

Supervisor Name

Company

Company Phone

Company Email

Company 2

Company Name

Position Title

Start Date

End Date

Position Duties

Starting Salary

$

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Supervisor Name

Company

Company Phone

Company Email

Company 3

Company Name

Position Title

Start Date

End Date

Position Duties

Starting Salary

$

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Supervisor Name

Company

Company Phone

Company Email

Additional Notes

Character References

Please list a person (not a relative) who can attest to your work as a plumber (or similar to the position you are applying for)

Reference 1

Name *

Relationship to you *

Phone *

Email *

Reference 2

Character Reference Name *

Relationship to you *

Email *

Phone *

Military Service

Military Service Branch

Military Service Dates From

Military Service Dates To

Military Occupational Specialty (MOS)

Military Service Rank at DIscharge

Type of Discharge

Application Questions

If driving is required (it is required for Journeyman or Master Plumber), do you have a clean driving record for at least 5 years and are willing to operate a company vehicle (Van, Pick-up Truck, Trailer, Box Truck)?

Yes

No

Type of Employment Desired *

Part Time

Full Time

Temporary

Long Term

Any

Type of Employment Desired: *

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Earliest Start Time *

Latest End Time *

Describe your residential plumbing experience: *

Describe your commercial plumbing experience: *

What motivated you to apply for a position with McIntosh Plumbing? *

What questions or concerns do you have about this position?

Where did you hear about this job?

Physical Requirements

Lift up to 50 lbs alone?

Yes

No

Lift up to 100 lbs with a team member?

Yes

No

Stand for up to 4 hours without a break?

Yes

No

Carry up to 50 lbs on uneven terrain or stairs?

Yes

No

Climb ladders, crawl through small spaces, and work on hands and knees?

Yes

No

Squat, bend, or kneel repeatedly for up to 30 minutes?

Yes

No

Work in extreme heat (over 100°F) for 4 hours?

Yes

No

Work in extreme cold (under 20°F) for 4 hours?

Yes

No

Sit at a desk or table for up to 4 hours without a break?

Yes

No

If any answers above require explanation, please explain:

Applicant Certification

I understand that false or misleading information given in my application, resumes, interviews, or during the course of employment may result in withdrawal of a job offer or termination of employment.

Signature

Date

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