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Counter Salesperson Application
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* Required
Email
*
Your email
Personal Information
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Suffix
Your answer
Preferred Pronouns
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Current Residence
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Eligibility to Work
Are you eligible to work in the US?
*
Yes
No
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
Yes
No
Clear selection
If yes, please explain:
Your answer
Work Availability
What days of the week are you available to work?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
How many hours are you willing to work every week?
*
Your answer
Experience and Employment History
How many years experience do you have selling plumbing or heating supplies and equipment?
*
Your answer
How many years of experience do you have working in sales or customer service?
*
Your answer
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.
Your answer
How comfortable are you working with a point of sale system?
*
I'm a complete beginner
1
2
3
4
5
I'm an advanced user
How comfortable are you with written or electronic correspondence with customers?
*
No experience and require training
1
2
3
4
5
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
1
2
3
4
5
I'm an advanced user
Employer 1 Name
Please list most recent employer first
Your answer
Employer 1 Address
Your answer
Position Title/Duties/Skills with Employer 1
Your answer
Employer 1 Supervisor's Name
Your answer
Employer 1 Supervisor's Phone
Your answer
Employer 1 Supervisor's E-mail
Your answer
Employer 1 Start Date
MM
/
DD
/
YYYY
Employer 1 End Date
MM
/
DD
/
YYYY
Reason for leaving Employer 1
Your answer
Can Van Houten contact Employer 1?
Yes
No
Maybe, but this will require a discussion first.
Clear selection
Employer 2 Name
Your answer
Employer 2 Address
Your answer
Position/Title/Duties at Employer 2
Your answer
Employer 2 Supervisor's Name
Your answer
Employer 2 Supervisor's Phone
Your answer
Employer 2 Supervisor's E-mail
Your answer
Employer 2 Start Date
MM
/
DD
/
YYYY
Employer 2 End Date
MM
/
DD
/
YYYY
Reason for leaving Employer 2
Your answer
Can Van Houten contact Employer 2?
Yes
No
Maybe, but this will require a discussion fist.
Clear selection
Employer 3 Name
Your answer
Employer 3 Address
Your answer
Position/Title/Duties with Employer 3
Your answer
Employer 3 Supervisor's Name
Your answer
Employer 3 Supervisor's Phone
Your answer
Employer 3 Supervisor's E-mail
Your answer
Employer 3 Start Date
MM
/
DD
/
YYYY
Employer 3 End Date
MM
/
DD
/
YYYY
Reason for leaving Employer 3
Your answer
Can Van Houten contact Employer 3?
Yes
No
Maybe, but this will require a discussion first.
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.
Your answer
Certifications/Acknowledgements
I hereby certify that the above information is true and correct.
I agree that Van Houten may verify any and all information provided above and that a background check may be conducted before employment is offered.
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