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Application for Employment
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1)
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Personal Information
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Date
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Name
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Telephone
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Address
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City
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State
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Zip Code
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Email Address
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Are you legally entitled to work in USA?
Proof will be required upon hire
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Position(s) applied for
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Date you are available for employment
(mm/dd/yyyy)
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Wage of salary desired
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Have you ever worked for Sheridan Plumbing & Sewer, Inc. before?
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If yes, when and where?
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2)
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Educational Background
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Sheridan Plumbing & Sewer, Inc. has a company policy stating a minimum education level of Grade 12 or equivalent for all positions.
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EDUCATIONAL BACKGROUND - relevant to the position applied for
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Highest level of education completed
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Name of educational institute
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What machines or equipment have you operated which relate to the position you have applied for?
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Are there any skills, experience, or other qualifications which you feel would assist you in performing the duties of the position you have applied for?
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3a)
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List below your last three employers, starting with the most recent.
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Employer's Name
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Start Date
(mm/dd/yyyy)
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End Date
(mm/dd/yyyy)
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Reason for Departure
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Supervisor's Name
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Telephone
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Position(s) Held
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Duties
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May we contact this employer?
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If not, state brief reason
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3b)
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Employer's Name
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Start Date
(mm/dd/yyyy)
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End Date
(mm/dd/yyyy)
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Reason for Departure
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Supervisor's Name
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Telephone
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Position(s) Held
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Duties
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May we contact this employer?
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If not, state brief reason
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3c)
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Employer's Name
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Start Date
(mm/dd/yyyy)
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End Date
(mm/dd/yyyy)
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Reason for Departure
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Supervisor's Name
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Telephone
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Position(s) Held
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Duties
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May we contact this employer?
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If not, state brief reason
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4)
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If you are applying for a position that requires driving, please complete this section:
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Do you have a valid driver's license?
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License #
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State
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Note:
If you are selected for an interview, you are required to present a copy of your driving record that is
not more than 4 weeks old. After being hired, a copy of this driving record will be placed into your personnel
file and an annual update will be required.
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5)
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False information given or implied on an application form is grounds for immediate dismissal without further notice.
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I hereby state that all information provided is accurate and may be verified by you. I agree that I may be
discharged if Sheridan Plumbing & Sewer, Inc. at any time learns of falsification or material omission in the
infomation provided on this application form and related documents. Sheridan Plumbing & Sewer, Inc. may
contact my former employer in connection with the consideration of my employment with them. All
references are hereby authorized to release all information which they may have relevant to my
employment with them. I hereby release Sheridan Plumbing, Inc., its affiliates, succcessors, and
assigns, and all references from any liability that might be claimed because of information provided by such
references.
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I agree that I will follow all Company policies, rules, procedures, and all other directions pertaining to my
employment. I understand that Sheridan Plumbing & Sewer, Inc. reserves the right to add, change, and/or
delete any policies, procedures, work rules, and/or benefits at any time.
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Applicant Signature
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Date
(mm/dd/yyyy)
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NO CONSIDERATION OF EMPLOYMENT WILL BE GIVEN TO ANY APPLICATN WHO DOES NOT
SIGN THE ABOVE STATEMENT.
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Note:
Additional personal information will be required to complete benefit forms after being hired.
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Thank you for showing an interest in pursuing a career with Sheridan Plumbing & Sewer, Inc.
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©2013 Sheridan Plumbing & Sewer
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