Thompson Family Plumbing and Drain, Application for Employment
Thompson Family Plumbing 
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Email *
Position applying for:
Location applying for:  *
Required
First and Last Name  *
Street Address  *
Best Contact Number  *
Date you can start work  *
MM
/
DD
/
YYYY
Desired Salary *
Do you have a High School Diploma or GED *
Required
Position Information
Check all that you are willing to work 
Full time
Part time
Days
Evenings
Swing
Graveyard
Weekends
Regular
Temporary
Hours
Are you authorized to work in the US *
Required
Have you ever been convicted of a felony? *
(Convictions will not necessarily disqualify an applicant for employment)
Required
Have you been told the essential functions of the job or Reviewed the job listing? *
Required
Can you perform these essential functions of the job with or without reasonable accommodation? *
Required
Qualifications
Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
*
Special Skills
List any special skills or any experience that you feel would help you in the position that you are applying for
*
References
Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don't have three professional references, then list personal, unrelated reference. 
References #1 *
(Name, Address/City/State, Phone, Relationship)
References #2
(Name, Address/City/State, Phone, Relationship)
References #3
(Name, Address/City/State, Phone, Relationship)
Work History
Start with your present or most recent employment and work back. Use separate sheet if necessary (INCLUDE PAID AND UNPAID POSITIONS)
May we contact present employer 
Job #1
*
(Company name and address, Supervisor's name and phone number, Employment start and end date, duties, reason for leaving, Starting Salary, Ending Salary)
Job #2 
(Company name and address, Supervisor's name and phone number, Employment start and end date, duties, reason for leaving, Starting Salary, Ending Salary)
Job #3
(Company name and address, Supervisor's name and phone number, Employment start and end date, duties, reason for leaving, Starting Salary, Ending Salary)
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the employer to make an investigation of any of the facts set forth in this application and release the employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an "at will" employer. Therefore, any employee (regular, temporary or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party. 
A copy of your responses will be emailed to the address you provided.
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