New Technology Plumbing
New Technology Plumbing

Employment Application
We consider all applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.
*Required Fields
*Position(s) Applied For:
*Date of Application:
/ / (MM/DD/YYYY)
How Did You Learn About Us:
If Other, Please Specify:
*First Name:
Middle Name:
*Last Name:
*Address:
Address (Line 2)
*City:
*State:
*Zip:
*Email:
*Telephone Number:
Best Time to Contact You:
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?
If yes, please give date:
/ / (MM/DD/YYYY)
Have you ever been employed with us before?
If yes, please give date:
/ / (MM/DD/YYYY)
Do any of your friends or relatives, other than a spouse, work here?
If yes, please specify:
Name:    
Relationship:  
Location:  
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? (Proof of citizenship or immigration status will be required upon employment)
Date Available for work: / / (MM/DD/YYYY)
Desired Salary:
What hours are you available for work?:
Full-Time:
Part-Time:
Temporary (indicate dates):
FROM: / / TO: / /
Are you currently on "lay-off" status and subject to recall?
Can you travel if the job requires it?



Work 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:
Work Performed
Address:
Phone Number:
Job Title:
Supervisor:
Reason For Leaving:
Dates Employed
From: / / To: / /
Hourly Rate / Salary
May we contact? Yes No Starting: Final:


Employer:
Work Performed
Address:
Phone Number:
Job Title:
Supervisor:
Reason For Leaving:
Dates Employed
From: / / To: / /
Hourly Rate / Salary
May we contact? Yes No Starting: Final:


Employer:
Work Performed
Address:
Phone Number:
Job Title:
Supervisor:
Reason For Leaving:
Dates Employed
From: / / To: / /
Hourly Rate / Salary
May we contact? Yes No Starting: Final:








New Technology Plumbing
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1401 N. Kraemer Blvd. "B", Anaheim, CA 92806   •  Tel: (714) 688-0800 • Fax: (714) 688-0803
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