Personal informations Application for Fort Collins Plumbing Employment Instructions: Answer every question completely and accurately. Please include "NOT APPLICABLE" if question is not answered intentionally. If you need assistance filling out this application or any phase of the Fort Collins Plumbing Employment process, please call the office at 970-566-1377 Position Applying For Today's Date First Name Middle Name Last Name Email Address Street City State Zip Code Home Phone Number Work Phone Number Referral Source Employee Unsolicited Advertisement Availability (please check all that apply) When are you available for employment? Type of work desired: Full Time Part Time Temporary For what schedules are you available? Weekdays Weekends Overtime Evenings Nights Other If hired can you furnish proof you are eligible to work in the U.S.? Yes No Are you willing to travel? Yes No Reasonable efforts will be made to accommodate sincerely held moral and ethical beliefs, as well as religious practices. General Salary (Hourly Wage) required: Have you ever worked here before? Yes No If Yes When? Have you ever applied here before? Yes No If Yes when? Are you 18 years of age or older? Yes No Do you have reliable means of transportation to get to and from work? Yes No Do you have the appropriate driver' license? Yes No List any friends or relatives working for this company: Have you been given a job description or had the essential functions of the job explained to you? Yes No Do you understand the essential functions? Yes No Can you perform the essential functions of this job with or without reasonable accommodations? Yes No If employed, do you expect to be engaged in any other additional business outside of our job? Yes No We do not discriminate on the basis of race, religion, national origin, color, age, sex, veteran status or disability. It is our intention that all applicants be given equal opportunity and that selection decisions be based on job-related factors. Work History Instructions: 1. Since we plan to contact previous employers, it is important that you provide correct telephone numbers. 2.Please be sure to account for all periods of time including military service and any periods of unemployment. 3. If self-employed, give firm name and supply business references. Have you ever been fired from a job or asked to resign? Yes No If so please explain: Most Recent Employer May we contact your current employer? Yes No Are you currently working for this employer? Yes No Company Name City State Job Title Phone Number From: To: Supervisor's Name Reason for leaving: Who do you suggest we contact? Duties: Second Most Recent Employer Are you currently working for this employer? Yes No Company Name City State Job Title Phone Number From: To: Supervisor's Name Reason for leaving: Who do you suggest we contact? Duties: Third Most Recent Employer Are you currently working for this employer? Yes No Company Name City State Job Title Phone Number Reason for leaving: Who do you suggest we contact? Duties: Fourth Most Recent Employer Are you currently working for this employer? Yes No Company Name City State Job Title Phone Number From: To: Supervisor's Name Reason for leaving: Who do you suggest we contact? Duties: Security List state and counties of residence for the past seven years State: County From: To State: County From: To State: County From: To State: County From: To Have you ever been convicted of any law violation? (Please include any plea of 'GUILTY' or 'NO CONTEST' except for minor traffic violations.) Yes No If yes please give details (include incident, city, state and charge) Has your drivers license been suspended or revoked in the last three years? Yes No If yes please give details Education Last Grade Compleated 7Remove item8Remove item9Remove item10Remove item11Remove item College High School If your school records are under another name than listed on page one, please list other name(s) School Name City/State Graduate? Yes No Degree/ Major College School Name City/State Graduate? Yes No Degree/ Major University School Name City/State Graduate? Yes No Degree/ Major Military School Name City/State Graduate? Yes No Degree/ Major Other School Name City/State Graduate? Yes No Degree/ Major Additional Training What other training do you have that is related to the job for which you are applying? What machines or equipment can you operate that may be relative to the job for which you are applying? References Instructions: List only individuals familiar with your work ability or related education. Do not include relatives. Do not include former employers. First Name Last Name Address Street City State Zip Code Phone Number Years Known First Name Last Name Address Street City State Zip Code Phone Number Years Known First Name Last Name Address Street City State Zip Code Phone Number Years Known First Name Last Name Address Street City State Zip Code Phone Number Years Known Affidavit Instructions: Please read each statement carefully before signing. I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I understand that the employer may request an investigative consumer report from a consumer reporting agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained from interviews with neighbors, friends, former employers, schools and others. I understand that I have the right to make a written request within a reasonable time for disclosure of the nature and scope of the investigation. I authorize the investigation of any or all statements contained in this application and also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability for making such statements. I understand that if I am extended an offer of employment, it may be conditional upon my successfully passing a complete or partial pre-employment screening process that may include; a drug screen, criminal history screen, credit history screen and / or education confirmation. I consent to the release of any or all records as may be deemed necessary to judge my capability to do the work for which I am applying. I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINATE PERIOD OF TIME. ONLY THE PRESIDENT OF THE COMPANY HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE. I have read and understand, and by my signature consent to these statements. Submit Form INDEPENDENT PLUMBING SERVICES 24 hour Emergency Plumbing Services 1611 E Lincoln Ave Unit A, Fort Collins, Colorado 80524 (970) 566-1377 Hours of Business: Sunday CLOSED Monday 8:00AM – 5:00PM Tuesday 9:00AM – 5:00PM Wednesday 9:00AM – 5:00PM Thursday 9:00AM – 5:00PM Friday 9:00AM – 5:00PM Saturday CLOSED Plumbing Contractor Report OUR SERVICE AREAS EXPERTISE AWARD LEAVE A REVIEW: We want to know about your experience with our company and the services we provided for you. Let us know by leaving a review! PARTNER Copyright ©2015-2021 Independent Plumbing Solutions, All Rights Reserved. Designed and Hosted by Information Point Technologies