plumber
no image
Location: Durham, NC, USA
School: Durham technical
Field of study: plumbing

plumber

APPLICATION FOR EMPLOYMENT
WE ARE AN EQUAL OPPORTUNITY
EMPLOYMENT COMPANY. WE ARE DEDICATED TO
A POLICY OF NON-DISCRIMINATION IN EMPLOYMENT ON ANY BASIS INCLUDING RACE,
CREED, COLOR, AGE, SEX, RELIGION NATURAL ORIGIN OR PHYSICAL HANDICAP
PERSONAL INFORMATION SOCIAL SECURITY
DATE NUMBER
NAME *AGE
*SEXLAST FIRST MIDDLE
PRESENT ADDRESS
PERMANENT ADDRESS
PHONE NO. OWN HOME RENT BOARD
*DATE OF BIRTH HEIGHT WEIGHT
MARRIED SINGLE WIDOWED DIVORCED SEPARATED
CITIZEN
YES
NUMBER OF CHILDREN NUMBER OF
DEPENDENTS (OTHER
THAN WIFE OR CHILDREN) OF USA NO
REFERRED
IF RELATED
TO ANYONE IN
OUR EMPLOY STATE NAME
AND DEPARTMENT BY
EMPLOYMENT DESIRED
DATE YOU SALARY
POSITION CAN START DESIRED
MO/YRARE YOU EMPLOYED NOW? YES NO
IF SO MAY WE INQUIRE
OF
YOUR PRESENT EMPLOYER? YES NO
EVER APPLIED TO THIS COMPANY BEFORE? YES NO WHERE WHEN
YEARS
DATE SUBJECTS
EDUCATION NAME AND LOCATION OF SCHOOL
ATTENDED GRADUATED STUDIEDGRAMMAR SCHOOL
HIGH SCHOOL
COLLEGE
TRADE, BUSINESS OR
CORRESPONDENCE

SCHOOL
SUBJECTS OF SPECIAL STUDY
OR RESEARCH WORK
WHAT FOREIGN LANGUAGES
DO YOU SPEAK FLUENTLY? READ
WRITEU.S MILITARYSERVICE
RA NK PRESENT
MEMBERSHIP
IN NATIONAL GUARD OR RESERVES YES NO
DO YOU HAVE NC LICENSE? YES NO DRIVERS LICENSE #
(CONTINUED ON OTHER SIDE)
*IT IS NOT NECESSARY TO ANSWER UNLESS SPECIFICALLY REQESTED BY INTERVIEWER STREET, CITY, STATE, ZIP STREET, CITY, STATE, ZIP

FORMER EMPLOYERS
(LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST) DATE
MONTH AND YEAR NAME AND ADDRESS OF EMPLOYER
SALARYPOSITION
REASON FOR LEAVINGFROM
TO
FROM
TO
FROMTO
FROM
TO
REFERENCES:
GIVE BELOW THE NAMES OF 3 PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST 1 YEAR NAME ADDRESS BUSINESS YEARS
ACQUAINTED 1
2
3
PHYSICAL RECORD:
WHERE YOU EVER INJURED
? YES NO GIVE DETAILS
HAVE YOU ANY DEFECTS IN HEARING? YES NO IN VISION? YES NO IN SPEECH?
YES NO
IN CASE OF
EMERGENCY NOTIFY
NAME
ADDRESS PHONE NO.
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR
OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO
DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME
WITHOUT ANY PREVIOUS NOTICE. TYPING YOUR NAME BELOW WILL BE ACCEPTED AS YOUR LEGAL SIGNATURE. DATE
SIGNATURE DO NOT WRITE BELOW THIS LINE
INTERVIEWED BY
DATE
REMARKS
NEATNESS CHARACTER
PERSONALITY ABILITYHIRED YES NO FOR DEPT
POSITIONWILL REPORT SALARY/WAGESAPPROVE: 1 2
3
DEPT. HEAD GENERAL MANAGER