Counter Salesperson Application
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Email *
Personal Information
First Name *
Middle Name
Last Name *
Suffix
Preferred Pronouns
Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Current Residence
Street Address *
City *
State *
Zip *
Eligibility to Work
Are you eligible to work in the US? *
Have you been convicted of or plead guilty to a felony or misdemeanor within the last five years?
Please note that answering 'yes' will not immediately disqualify you for employment
Clear selection
If yes, please explain:
Work Availability
What days of the week are you available to work? *
Required
How many hours are you willing to work every week? *
Experience and Employment History
How many years experience do you have selling plumbing or heating supplies and equipment? *
How many years of experience do you have working in sales or customer service? *
How many years of experience do you have doing plumbing work? *
Please understand that Van Houten is a supply house, but we typically consider experience working as a plumber, a plumber's apprentice, or general contractor as equivalent for plumbing sales experience.
How comfortable are you working with a point of sale system? *
I'm a complete beginner
I'm an advanced user
How comfortable are you with written or electronic correspondence with customers? *
No experience and require training
Very comfortable
How comfortable are you working with Microsoft Office or other productivity suites? (such as Microsoft Word, Excel, Outlook, LibreOffice, Google Docs, Sheet, etc.) *
I'm a complete beginner
I'm an advanced user
Employer 1 Name
Please list most recent employer first
Employer 1 Address
Position Title/Duties/Skills with Employer 1
Employer 1 Supervisor's Name
Employer 1 Supervisor's Phone
Employer 1 Supervisor's E-mail
Employer 1 Start Date
MM
/
DD
/
YYYY
Employer 1 End Date
MM
/
DD
/
YYYY
Reason for leaving Employer 1
Can Van Houten contact Employer 1?
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Employer  2 Name
Employer 2 Address
Position/Title/Duties at Employer 2
Employer 2 Supervisor's Name
Employer 2 Supervisor's Phone
Employer 2 Supervisor's E-mail
Employer 2 Start Date
MM
/
DD
/
YYYY
Employer 2 End Date
MM
/
DD
/
YYYY
Reason for leaving Employer 2
Can Van Houten contact Employer 2?
Clear selection
Employer 3 Name
Employer 3 Address
Position/Title/Duties with Employer 3
Employer 3 Supervisor's Name
Employer 3 Supervisor's Phone
Employer 3 Supervisor's E-mail
Employer 3 Start Date
MM
/
DD
/
YYYY
Employer 3 End Date
MM
/
DD
/
YYYY
Reason for leaving Employer 3
Can Van Houten contact Employer 3?
Clear selection
Additional Skills
Please list any additional skills including (but not limited to) supervision skills, other languages, or information regarding the position you wish to bring to our attention.
Certifications/Acknowledgements
Submit
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