Employment Application

Application MUST be filled out in its entirety.
Incomplete applications may be DELETED and NOT considered for employment.


Introduction & Contact Information

First Name:*

 *Required

Last Name:*

 *Required

Address:*

 *Required

City*, State*, ZIP:*

    

Email:*

 *

Phone:*

 *Required
   
Desired Position, Availability Date & Licensing Information

Date Availble for  Employment:*

If employed and under 18, can you furnish a work permit?

Are you employed now?

 *

May we contact your present employer?

 *

If yes, give name:

Are you prevented from lawfully becoming employed in
this country because of visa or immigration status?

 *

Position you are applying for:*

Are you a licensed journeyman
plumber in the State of Texas?

What is your plumbing license number?

Can you perform the essential functions of the job(s)
for which you are applying?

 *

Are you available to work:
Driving Record Information

If applying for a position where driving is required, do you have a valid driver’s license in this state?

 *

Drivers License #:

Has your driver’s license ever been suspended?

 *

If yes, explain:

Have you ever been convicted of a DUI or DWI?

 *

If yes, explain:

List all tickets (moving violations)
received in the last three years:

*

List all vehicular accidents in the last three years:

*

Have you been convicted of a felony?

 *

If yes, please explain:

(Please note that a "Yes" answer will not bar you from consideration for employment)

Have you ever enlisted the assistance of an attorney to handle a claim, seek monetary damages or file a lawsuit?

*
   
Past Employer 1 (Most Recent)

Employer Name:*

Supervisor:*

Position:*

Address:

City, State, ZIP :

    

Phone:*

Start / End Dates:*

From:   To: 

Reason for Leaving:*

   
Past Employer 2

Employer Name:*

Supervisor:*

Position:*

Address:

City, State, ZIP :

    

Phone:*

Start / End Dates:*

From:   To:

Reason for Leaving:*

   
Past Employer 3

Employer Name:*

Supervisor:*

Position:*

Address:

City, State, ZIP

    

Phone:*

Start / End Dates:*

From:   To:

Reason for Leaving:*

   
Education & Personal Referrences

Highest Level of Education Completed:

 *

When (year)?

Personal Reference 1:*

Personal Reference 1 Phone:*

Personal Reference 2:*

Personal Reference 2 Phone:*
   
Consent, Signature & Application Submission

LEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID.

I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. By signing below, I authorize Midway Plumbing to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications.

If hired I will be responsible for familiarizing myself with all rules and regulations of Midway Plimbing as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of Midway Plumbing or at my option, without notice, at any time and for any reason. I also understand that no representative of Midway Plumbing has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the owner of Midway Plumbing.

I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time.

*Printing my name on this line constitutes an electronic signature and I have read, understand and agree with the above.

Signature of Applicant:*

 *RequiredEnter First & Last Name

Date:*

 *Required

This application is valid for only ninety (90) days from the date I signed. If I want to be considered for job openings more than ninety (90) days from date signed, I will submit a new application.

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A Message from the Owner:

Thank you for your interest in applying for employment at Midway Plumbing. Our specialty is plumbing service and repair with the goal to be at the very top of our market as the company that provides the very best in superior service. Qualified applicants will be drug screened and background checked to maintain the high standards of service and security our customers deserve. We look forward to receiving your completed application and thank you for applying at Midway Plumbing.

Sincerely,
David Ratliff, Owner


Our Policy:

Midway Plumbing is an equal employment opportunity employer. All applicants will be considered without regard to age, race, national origin, religion, disability, sex, or other protected status in accordance with applicable federal and state equal employment opportunity laws. Midway Plumbing will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of the job.