The company is an Equal Opportunity Employer, We do not discriminate in hiring or terms and conditions of employment because of an individual's age, sex, race, color, religion, national origin, marital status, sexual orientation, disabled status or veteran status, or any other protected class.
| PERSONAL INFORMATION |
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| * Full
Name: |
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| * Street Address: |
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| * City: |
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| * Zip Code: |
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| * Daytime Telephone: |
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| Evening Telephone: |
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| * Email Address: |
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| Social Security: |
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| Over 18?: |
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| AVAILABILITY |
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| Position
applying for: |
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| Date available to start: |
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| Salary Desired: |
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| How did you hear about us: |
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| Are
you willing to relocate? |
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| EMPLOYMENT HISTORY |
| List employment starting with your most recent position. Account for any time during in which you were unemployed by stating the nature of your activities. If you have no prior employment history, include personal references to be contacted. |
| May we contact your
former employer:
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| Employer: |
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| Supervisor: |
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| Employer Telephone: |
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| Dates: |
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From:
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To:
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| Please enter your employment history here. Be sure to include specific
duties, experiences, acheivements, and certifications. |
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| Reason for Leaving: |
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| Salary: |
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Final:
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| Employer: |
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| Employer Telephone: |
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| Street Address: |
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| City: |
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| Zip Code: |
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| Dates: |
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From:
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To:
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| Please enter your employment history here. Be sure to include specific
duties, experiences, acheivements, and certifications. |
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| Reason for Leaving: |
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| Salary: |
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Final:
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| Employer: |
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| Position / Title: |
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| Supervisor: |
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| Employer Telephone: |
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| Street Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Dates: |
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From:
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To:
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| Please enter your employment history here. Be sure to include specific
duties, experiences, acheivements, and certifications. |
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| Reason For leaving: |
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| Salary: |
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Final:
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| EDUCATION |
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| Education
Level: |
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| Type of school : |
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| Name and Location of School: |
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| Years
Completed: |
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| Graduated? |
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| Comments: |
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| SPECIAL SKILLS |
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Office:
(click all that apply) |
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Typing
Excel
Word
10 Key (by touch) |
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| Words Per minute (WPM) |
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| Key Strokes |
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| Other: |
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| ACADEMIC AND PROFESSIONAL ACTIFITIES AND ACHIEVMENTS |
| Academic and Professional Activities and Achievements, Awards, Publications, or Technical-Professional Societies. Indicate Type or name. Exclude organizations which indicate race, creed, color, sex, age, religion, disability, or national origin of its members. |
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| Achievements: |
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| MISCELLANEOUS |
| Is there any additional information involving a change of your name or assumed name that will permit us to check your record? |
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| If yes, please explain |
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Have you ever been convicted of a crime?
(conviction does not automatically disqualify consideration of applicant)
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| Have you ever been employed by Mike Diamond Plumbing?
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If yes |
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Date
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Position
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| Names of friends and relatives employed by company |
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| Are there any jobs you do not wish to be considered for?
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| If yes, please explain. |
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| PLEASE READ THE FOLLOWING STATEMENT CAREFULLY |
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I hereby affirm that the information given by me on this application for employment is complete and accurate. I understand that any falsification will be immediate grounds for dismissal. I authorize a thorough investigation to be made in connection with this application concerning my character, general reputation, personal characteristics, employment, educational background, and criminal record, whichever may be applicable. I understand that this investigation may include personal interviews with third parties such as family members, business associates, financial sources, friends, neighbors, and others with whom I am acquainted.
It is my understanding that as a prerequisite to consideration for employment, I must agree to submit to any post-offer examinations, physical or other, as the Company may lawfully require including drug testing. The Company will pay the reasonable cost of any such examination that may be required.
I understand and agree that any falsification or omission either on this form or in my response to questions asked during any interview or other examination process is ground for immediate termination of my employment no matter when the falsification or omission is discovered.
If I am hired, I agree that my employment and compensation can be terminated with or without cause and without notice at any time at the option of the Company or myself. I understand that no representative other than the President of the Company has the authority to enter into any agreement for any specified period of time or to make any agreement contrary to the foregoing.
By submitting this online application, I understand and affirm as my own the above statement. |
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