Marina Plumbing Employment Application
Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin or handicap. We are an equal opportunity employer.
Last Name *
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First Name *
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Home Phone *
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Cell Phone
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Street Address *
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City, State, Zip *
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How long at present address?
Years / Months
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What was your previous address?
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How long at previous address?
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Are you over 18 years of age? *
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How did you learn of our organization?
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Are you eligible for employment in the United States? *
When will you be able to work?
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Are you employed now?
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Position Desired *
Have you physical defects which preclude you from performing certain jobs? *
If Yes, describe limitation(s):
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Employment History
1
Most Recent Employer
Company Name
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Address
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Name of Supervisor
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Start job title and describe your work
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Telephone
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Employed from
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Hourly rate
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Reason for leaving
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2
Previous Employer
Company Name
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Address
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Name of Supervisor
Your answer
Start job title and describe your work
Your answer
Telephone
Your answer
Employed from
Your answer
Hourly rate
Your answer
Reason for leaving
Your answer
3
Previous Employer
Company Name
Your answer
Address
Your answer
Name of Supervisor
Your answer
Start job title and describe your work
Your answer
Telephone
Your answer
Employed from
Your answer
Hourly rate
Your answer
Reason for leaving
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References
Name
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Address
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Business
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Phone
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Years Acquainted
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Additional Reference
Name
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Address
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Business
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Phone
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Years Acquainted
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Signature
Please check the box to agree *
The information provided in this application for employment is true, correct and complete. If employed, any misstatements or omissions of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained, you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of information contained in the report.
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