Williams Plumbing, Heating & Utilities Employment Application Personal Last Name First Name E-mail Address City State Zip Home Phone Work Phone ext. Employment status you will accept: Full Time Part Time Seasonal Are you willing to work overtime if asked? Yes No Position Desired How did you hear about us? Are you legally eligible for employment in the United States? Yes No Date Available to Start: Are you a Veteran of Military Service? Yes No If yes: Branch Dates Have you had a DUI in the past three years? Yes No Do you authorize Williams Plumbing to check your driving record? Yes No Will you submit to a drug/alcohol screening as a requirement of employment? Yes No Have you ever been convicted of a felony? Yes No If yes, please explain: Education College Name: Location: Course of study: From: To: Business/Trade/Technical Name: Location: Course of study: From: To: High School Name: Location: Course of study: From: To: Other special training or skills (licenses, machine operation, seminars, etc.): References Reference 1: Company Name: Phone: Job title and description of work: Date of employment: From: To: Reason for Leaving: Reference 2: Company Name: Phone: Job title and description of work: Date of employment: From: To: Reason for Leaving: Reference 3: Company Name: Phone: Job title and description of work: Date of employment: From: To: Reason for Leaving: May we contact the employers listed above? Yes No If no please explain: By typing your name in below certifies that all information contained in this application is true, correct and complete to the best of my knowledge. Falsifications or misrepresentations will disqualify me from consideration for employment, or if hired, will be grounds for termination. I give my permission for you to contact my past employers for references unless otherwise stated above. Electronic Signature: Date: Upload resume (if applicable):