Plumbing and Electrical Services

Online Employment Application

Personal Information

Today's Date:
Your name:
Your present address:
Your permanent address:
Your e-mail address:
Your phone number:

Employment Desired

Position:
Date you can start:
Salary desired:
Are you employed now: no  yes
If so, can we inquire of your employer: no  yes
Have you applied with us before? no  yes
Where?
When?

The age discrimination in Employment act of 1967 prohibits discrimination on the basis of age with respect to individuals who are 40 years of age or older.

Education
Name and location of Grammar School:
Did you graduate: yes   no
Subjects studied:
Name and location of High School:
Did you graduate: yes   no
Subjects studied:
Name and location of College:
Did you graduate: yes   no
Subjects studied:
Name and location of Trade School:
Did you graduate: yes   no
Subjects studied:
Subjects of special study or research work:
What languages do you speak:
Activities: civic, athletic, etc.

Former Employers: (list below the last four employers starting with the last one first.)
Employed from:
To:
Name and address of employer:
Salary:
Position:
Reason for leaving:
Employed from:
To:
Name and address of employer:
Salary:
Position:
Reason for leaving:
Employed from:
To:
Name and address of employer:
Salary:
Position:
Reason for leaving:
Employed from:
To:
Name and address of employer:
Salary:
Position:
Reason for leaving:

References

References: give below the names of three persons not related to you, whom you have known at least one year.
Name:
Address:
Business:
Years acquainted:
Name:
Address:
Business:
Years acquainted:
Name:
Address:
Business:
Years acquainted:
Name:
Address:
Business:
Years acquainted:

In Case Of Emergency, Notify:
Name:
Address:
Phone number:

Authorization:

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period, and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
Agree: (type "yes" or "no")
Toll Free: 1-888-321-2253 (1-888-321-ABLE)
Other phone numbers:
Butte Glenn Yuba/Sutter Tehama
Chico 899-9009 Orland 865-0241 Yuba City 673-8086 Corning 824-0140
Paradise 877-9009 Willows 934-7633 Marysville 673-8086 Red Bluff 527-0299
Oroville 534-3456   Live Oak 673-8086  
Gridley 846-6003