Job Application for Splash Plumbing in Anaheim, CA
16587
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Job Application

We consider all applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

GENERAL APPLICATION INFORMATION

Position applied for:

Date of application:

How did you learn about us?

If other please specify:

CONTACT INFORMATION

First Name:

Middle Name:

Last Name:

Address:

Address (Line 2):

City:

State:

Zip Code:

Email Address (Required):

Telephone Number:

Best Time To Contact You:

DETAILED APPLICATION INFO

If you are under 18 years of age, can you provide proof of your eligibility to work ?

Have you ever filed an application with us before ?

If yes, please give the date :

Have you ever been employed with us before?

If yes, please give the date :

Do any of your friends or relatives, other than a spouse, work here ?

If yes, please specify:

Name:

Relationship:

Location:

Are you currently employed ?

May we contact your present employer ?

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status ?
(Proof of citizenship or immigration status will be required upon employment)

Date Available for Work :

Desired Salary :

What hours are you available for work ?

Full Time:

Part-Time:

Temporary Dates:

From:

To:

Are you currently on "lay-off" status and subject to recall?

Can you travel if the job requires it?

WORK EXPERIENCE

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Work Experience #1

Employer:

Address:

Phone Number:

Job Title:

Supervisor:

Reason for Leaving:

May we contact?

Dates Employed:

From:

To:

Hourly Rate/Salary:

From:

To:

Work Performed:

Work Experience #2

Employer:

Address:

Phone Number:

Job Title:

Supervisor:

Reason for Leaving:

May we contact?

Dates Employed:

From:

To:

Hourly Rate/Salary:

From:

To:

Work Performed: