Careers - Salas Plumbing Incorporated

Personal Information

Name *

Date of Birth (Date of birth is required to facilitate background checks.) *

Email *

T-Shirt Size

Phone Numbers

Cell *

Home

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Are you currently eligible to work in the United States? We are required by law to verify identification and work authorization eligibility. Federal law does not permit us to hire or retain any person who is not, or no longer, authorized to work in the United States. *

Yes
No

Have you ever been convicted of or pleaded no contest to a felony? *

Yes
No

If YES, please explain: (Criminal history is necessary to facilitate background checks and for badged projects.)

Position / Availability:

Position Applied for: *

What date are you available to start work? *

Education / Skills

Name and Address of School – Degree/Diploma – Graduation Date

Plumbing License *

License must be current and not expired – *please select one.

Other Skills / Awards / Endorsements / ETC

If employed by Salas Plumbing Inc., would you be willing to take drug tests(s) upon request and pass the test(s)? *

Yes
No

Emergency Contact Info

Name: *

Phone Number: *

Relationship:

Other:

Phone Number Other:

Relationship other:

Employment History ( Present or Most Recent Position)

Most Recent Employer: *

Position Title: *

Supervisor Name: *

Supervisor Phone Number: *

Employed from: *

Employed to: *

Hourly Wage / Salary: *

Reason for leaving: *

Previous Employer / Position:

Employer Name:

Position Title:

Supervisor Name:

Supervisor Phone Number:

Employed from:

Employed to:

Hourly Wage / Salary:

Reason for leaving:

May we contact your present employer(s)? *

Yes
No

Do you have a Texas Driver’s License? *

Yes
No

Texas Driver’s License Number:

State:

Expiration:

(Driving information is necessary to check driving record for insurance purposes)

Do you have a DWI, DUI or any other offense on your driving record? *

Yes
No

If yes, please list:

Have you had any accidents OR moving violations during the past three years? *

Yes
No

If yes, please list:

References:

Name / Title / Address / Phone

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Please Sign your intials below to agree *

Date / Time *