The unlawful manufacture, sale, distribution, dispensation, possession or use of a controlled substance or marijuana is prohibited in this workplace and such violations will require action to be taken against said employee.

About You

Name

First

Last

Address/City/State/Zip

Have you ever been convicted of a felony?*

If yes, please explain*

POSITION APPLYING FOR

Preferred work type

Training and Education

High School

Name and Address of School

Years Completed

Diploma

College

Name and Address of School

Years Completed

Diploma

Technical School

Name and Address of School

Years Completed

Diploma

Other

Describe any specialized training, apprenticeships, skills you have received related to plumbing

SPECIAL SKILLS INVENTORY

Please check the following equipment you are proficient in operating. To be proficient you must have recent experience and must demonstrate complete control of the equipment

Backhoe

Tamper

Truck with loaded trailer

Trencher

Do you have a valid Virginia Driver's License?*

If Yes, A COPY OF YOUR DRIVING RECORD IS REQUIRED

Employment

Are you currently employed?*

Yes

Other

Name of current employer

From

Job title

Address

Phone

Email address

Please explain

Were you employed before this job?*

Yes

Other

Name of previous employer

From

Job title

Address

Phone

Email address

Please explain

Have you ever been discharged by an Employer?

If yes, who were you working for?

What is their contact information?

Please explain why you were discharged.

May we contact your past employers?

On what date would you be available for work?

This job requires overtime and being responsible for covering an "on call rotation" Is this acceptable to you?

What salary and fringe benefits would you expect after 1 year of employment?

I understand that if I am hired, the employment shall be at will of either party and may be terminated by either party at any time.*

How would you like to be contacted?

Home / office

Mobile / cell phone

Mobile Tel

Home Tel

Email address*

Upload your CV / Resume (optional)

Upload your CV

Maximum size 10MB. PDF, DOC, TXT only please

Online CV / Portfolio link

Provide the link here. EG: http://www.quform.com

Why would you be a good candidate for this position?*

This field should be left blank

APPLICATION FOR EMPLOYMENT

Ziegler plumbing is a drug-free workplace drug testing is mandatory for all employees.

About You

Training and Education

High School

College

Technical School

Other

SPECIAL SKILLS INVENTORY

Employment

How would you like to be contacted?

Upload your CV / Resume (optional)