Office Buildings
Acid Piping
Medical Offices
Roof Drains
Boilers
Residential
Water Heaters
Boilers
Wells
Pumps
Sewage Pumps
Commercial
Utilities
Equipment Experience
What type of work do you prefer?
Residential Sewers
Water Services
Layout
Repair
Storm Sewers
Set Manholes
Gas Services
Sewer Mains
Septic Systems
New
Backhoe
Cutting Torch
Welder
Bobcat
Jack Hammer
Trencher
Drill
Electric Saw
Concrete Saw
Concrete Saw
Education
Type
School/
Certificate Name and Location
Weeks / Months
/Years Completed
Degree/
Certificate or Diploma Earned
High School
College
Technical or Other
Specialized Courses related to
position
Previous Employment
Employment #1
Employer Name
Street Address
Address (cont.)
City
State
Zip Code
Phone #
Position Held
Dates
From
To
Employment #2
Employer Name
Street Address
Address (cont.)
City
State
Zip Code
Phone #
Position Held
Dates
From
To
AUTHORIZATION & APPLICANT STATEMENT:
I certify that the facts contained in the application are true and
complete to the best of my knowledge. I understand that any false statement,
omission, or misrepresentation on this application is sufficient cause for
refusal to hire or termination if I have been employed, no matter when
discovered by the Company.
I understand that any employment is conditional on a
background check. I authorize the Company to thoroughly investigate all
statements contained in my application or resume, and I authorize my former
employer and references to disclose information regarding my former
employment, character, and general reputation to the Company, without giving
me prior notice of such disclosures. In addition, I release the Company, any
former employers and all references listed above from any and all claims,
demands, or liabilities arising out of or related to such an investigation
or disclosure.
I understand and agree that nothing contained in this
application, or conveyed during any interview is intended to create an
employment contract. I further understand and agree that if I am hired, my
employment will be "at will" and without fixed term and may be terminated at
any time, with or without cause and without prior notice, at the option of
either the Company or myself. No promises regarding employment have been
made to me, and I understand that no such promises or guarantee is binding
upon the Company unless made in writing.
I understand that this application will be considered active
only for the time period specified by the Company. At the conclusion of that
time, if I have not heard from the employer and still wish to be considered
for employment, it will be necessary for me to reapply and fill out a new
application.
I understand that filling out this form does not indicate
there is a position open and does not obligate the Company to hire. If
hired, I agree to abide by all Company work rules, policies, and procedures.
The Company retains the right to revise its policies or procedures in whole
or in part at any time.
I
agree
I
disagree DATE:
Cupp
Plumbing, Inc. will not
discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin, or for
being a Vietnam era veteran, or a special disabled veteran. The
Company will take affirmative action to ensure that applicants are
employed, and that employees are treated, during employment, without
regard to their race, color, sex, or national origin.
