Employment Form

Step 1 of 6

* asterisked items are Required. Use the Tab key to move through the form.
Position(s) Applying For*
Personal Information
Application Date*
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP / Postal Code
Primary Phone*
Work Phone
Home Phone
Email*

(you may use a friend's or relative's email if necessary)
How did you hear about our company?
Employment Information
Citizenship/Work Status*
- U.S. Citizen
- Green Card Holder
- U.S. Work Permit/Visa
Are you currently employed?
- Yes
- No
Years of Work Experience Directly Related to the position you are applying for?*
Employment Type Desired
- Full-Time
- Part-Time
Desired Compensation $
Other Compensation Desired:
When are you available to start work?*
MM slash DD slash YYYY

Work Experience
Please list your work experience for the past 5 years beginning with your most recent job. If you were self-employed, give firm name. Attach Resume if applicable.
Upload Your Resume ONLY IF You Were Self Employed
Max. file size: 512 MB.
Most Recent Job
Name of Employer
Name of Last Supervisor
Your Job Title
Employment Dates - If you're still employed, use today's date
From*
Month
Day
Year
To*
Month
Day
Year
Pay or Salary
Starting Salary
Final Salary
Specific Reason for Leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact this employer?*
- Yes
- No
Second Most Recent Job
Name of Employer
Name of Last Supervisor
Your Job Title
Employment Dates
From
Month
Day
Year
To
Month
Day
Year
Pay or Salary
Starting Salary
Final Salary
Specific Reason for Leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact this employer?
- Yes
- No
Third Most Recent Job
Name of Employer
Name of Last Supervisor
Your Job Title
Employment Dates
From
Month
Day
Year
To
Month
Day
Year
Pay or Salary
Starting Salary
Final Salary
Specific Reason for Leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact this employer?
- Yes
- No
Fourth Most Recent Job
Name of Employer
Name of Last Supervisor
Your Job Title
Employment Dates
From
Month
Day
Year
To
Month
Day
Year
Pay or Salary
Starting Salary
Final Salary
Specific Reason for Leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact this employer?
- Yes
- No

Professional References
Please list 3-4 people you have worked with who can attest to your On-the-Job experience and performance.
Name
Position
Company
Phone
Email
Name
Position
Company
Phone
Email
Name
Position
Company
Phone
Email
Name
Position
Company
Phone
Email
Did you complete this application yourself?
- Yes
- No
If No, who did?
AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)
I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with WestPro Plumbing creates an actual or implied contract of employment. I understand that, if I accept employment with WestPro Plumbing , it will be on an at-will basis. This means that either WestPro Plumbing or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.

I agree to submit to drug and alcohol testing, if requested by WestPro Plumbing . I release WestPro Plumbing , and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.

I authorize WestPro Plumbing to investigate information concerning my education, licensing, certifications, driving record, criminal history, employment experiences and all other aspects of my background relevant to my proposed employment. I release WestPro Plumbing and its employees from all liability arising from such investigation.
Signature of Applicant*

(type out your full name)
Date*
MM slash DD slash YYYY
WestPro Plumbing is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with WestPro Plumbing depends solely on your qualifications.

Step 1 of 6

Personal Information

Employment Information

Education

High School

College/University

Bus. or Trade School

Professional School

Criminal History

Drivers License Information

Military Service

Work Experience

Most Recent Job

Second Most Recent Job

Third Most Recent Job

Fourth Most Recent Job

Plumbing Industry Skills

Certifications & Licenses

Additional Information

Professional References

AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)