Be part of the team of Pipe Wrench Plumbing! Knoxville plumber, service repair and maintenance installation in Knoxville, TN

Application for Employment

Our company is an equal opportunity employer and adheres to the principles and practices outlined in the Civil Rights Act of 1964, which prohibits discriminiation in employment on the basis of race, sex, religion, or national origin and Public Law 90-202 which prohibits discriminiation based on age.

This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner, as no action can be taken on this application until all questions have been answered.

PERSONAL:

Name (first, middle, last):
Present Address:
Telephone Number:
Social Security #:
Are you over 18?	YES NO

Have you ever been convicted of any crime (excluding minor traffic violations), including DWI/DUI? If yes, state the offense, location, date, and disposition below:

Who should be contacted in case of emergency?
Name:
Relationship:
Address:
Telephone:

Drivers License:

State:
DL Number:
Type/Class:

Employment Desired:

Are you seeking:

Full Time Part Time
Temporary or Summer Employment

Position Applying For:

Desired Salary:

Available Start Date:

Have you ever applied to our company before?

YES NO

Have you ever worked for our company before?

YES NO

If your answer to either of the above questions is Yes, state when and where you applied and/or worked:

How did you learn of our company and/or position?

Are you now or do you expect to be engaged in any other business or employment? YES NO

Are there any days or hours you would be unable or unwilling to work?
YES NO

If yes above, please specify:

EDUCATION:

Name, Address and Location	Date (From - To)
High School Name
Date (from - to)
Graduate?	YES? NO?
Diploma/Course Studied?

College Name
Date (from - to)
Graduate?	YES? NO?
Diploma/Course Studied?

Trade School Name
Date (from - to)
Graduate?	YES? NO?
Diploma/Course Studied?

If you did not graduate, why did you leave high school or college?

Are you planning to pursue further studies? YES NO

If so, when, where, and what courses?

List any scholastic honors, offices held and activities involved in during high school and college:

List and describe any other School or Specialized Training:

MILITARY:

Have you ever served in the military? YES NO

Service Branch:

Date Entered:

Date Seperated:

Final Rank:

Were you seperated from service with any degree of disability?
If so, what degree?

Are you a member of a reserve organization? YES NO

HEALTH:

Do you have any physical defect or illness that may limit your ability to perform the particular job for which you are applying? YES NO

If yes, please describe:

Date of your last physical exam:

Results:

Have you ever been injured on the job? YES NO

If yes, please describe:

Injury 1:

Nature of Injury

Employer

Year

Cause

Injury 2:

Nature of Injury

Employer

Year

Cause

Will you abide by the safety rules of this company? YES NO

Are you willing to take a physical exam and a urinary drug screening at company expense? YES NO

Have you ever received treatment for alcohol or drug use? YES NO

Have you used any illegal drug, including marijuana, in the past twelve months? YES NO

Days lost in the last two years due to illnes?

Reason:

OTHER INFORMATION:

What experience do you have in service plumbing?

How much experience do you have with a sewer machine?

How long have you been in service work?

With the right incentives, would you consider making this your career?

What equipment and tools are you proficient with?

Service plumbers work irregular hours. How do you feel about working nights? Weekends? and Holidays?

Are you willing to receive additional training for career advancement?

Would you be an asset to our company?

Have you ever been rewarded for high sales, best attendance or any other type of recognition?

If I met your formal boss at a social function, and asked to hear just one sentence about you, what would that sentence be?

If we reversed it, what would your sentence be about your boss?

What do you like the most about service plumbing?

What do you like the least about service plumbing?

About Your Family

Tell me about your family:

Using adjectives, describe your mother:

Outside of work, what activities do you need time for?

Do you read any trade magazines?

Describe to me the perfect plumbing company that you would like to work for:

Are you willing to take random drug tests? YES NO

Will you be available for a personal interview? YES NO

Would you consider yourself to be a motivated person?

Would you consider yourself well groomed, describe:

References

Below list two personal references with phone numbers, also list one person that you have worked with:

Communication Skills

On a scale of 1 to 5 (1 being poor and 5 being excellent), please rate yourself for each of the following categories:

Communication Skills:
Integrity:
Intelligence:
Technical Ability:
Positive Attitude: