Employment Form

Please fill out the form below and we will contact you as soon as possible. You will receive an email confirming your employment form submission.

Section 1

Name:TODAY'S DATE:Email Address:Phone:Personal Address:

Section 2

Position Desired?Desired Salary?What type of employment are you seeking?Are you applying for seasonal employment?Are You 18 Years or older?Have You Applied with this company before?If Yes, When?Have you ever worked in Plumbing before?What Times/Days Are you available?

Weekends

Monday - Friday

Nights

Mornings

Section 3

Have you ever been convicted of a felony or misdemeanor?We require that you be legally allowed to work in the US. Are you? *

Section 4

In case of emergency, who do we notify?Emergency contact phone number:Emergency contacts relationship to you?

Section 5

Education

Highschool

College

Graduate or Professional

Other - Business, Technical, Trade

How many years of High School did you complete?What is the name of the High School you attended?What is the name of the College you attended?What was your area of study/degree?Please list any other educational learning or achievements that you may have received below:

Section 6

Previous Employer #1Contact NumberCompany AddressStart/End DateJob TITLEYour Hourly/Salary RatePlease give us a brief understanding of the work that you performed there?Reason for leave?May We Contact Them?Previous Employer #2Contact NumberCompany AddressStart/End DateJob TITLEYour Hourly/Salary RatePlease give us a brief understanding of the work that you performed there?Reason for leave?May We Contact Them?Previous Employer #3Contact NumberCompany AddressStart/End DateJob TITLEYour Hourly/Salary RatePlease give us a brief understanding of the work that you performed there?Reason for leave?May We Contact Them?

Section 7

Are your a licensed driver?Do you own or have access to a vehicle?Do you have auto insurance?Do you have an accident report or traffic conviction from the past 5 years?

Thank you! Your submission has been received!

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NJ Jones Plumbing, LLC

Looking For Employment?

Become a part of a company that is continually growing!

Employment Form

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Call us for all of your plumbing needs:

315.299.4693

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