Power Plumbing, Inc. || Online Employment Application

Personal Information
Fields marked with "*" are required!
First Name:*   Middle Name:   Last Name:*
Address:*   City:*  
State:
*
Zip:*
Cell Phone:*   Alt Phone:   Work Phone:
Email Address:*   SSN #:      
If so, Who?
If so, When?
Can you perform the essential functions of this job with or without reasonable accommodation?
If accommodation were needed, what would that be?
Are you 18 years of age or older ?
If hired, can you submit certification of your legal right to work in the U.S.?
Desired Type of Employment
Salary Desired:
  Date Available:   Employment Type:
Felony / Misdemeanor Convictions
Please Note: A criminal conviction, deferred prosecution/adjudication, probation, court supervision, found or plead guilty to a criminal charge, or pending charge will not necessarily disqualify an applicant from employment. The date of conviction, nature of crime and other relevant factors will be considered in making the employment decision.
Have you ever been convicted, received deferred prosecution/ adjudication, probation, court supervision, or found/plead guilty to a criminal charge (felony or misdemeanor)?
If yes, state nature of the crime(s), location/jurisdiction, and disposition of the case:
Drivers License Information
The following section must be completed if you are applying for a position that requires the operation of a motor vehicle, owned or leased by the company, or if you must use your own vehicle for company purposes. You will be subject to periodic MVR checks.
Drivers License #:
  State Issued:   Expiration Date:
Has your drivers license ever been suspended or revoked for any reason?
If yes, please give date and reason: Date
Reason:
Have you been involved in a vehicle accident of any type within the last 5 years?
If yes, please give date and details: Date
Nature & Severity:
Have you been convicted of driving while intoxicated or under the influence?
If yes, please give date and details: Date
Explain Outcome:
Have you had any traffic citations in the last 5 years?
Citation Date:
  Offense:   Disposition:
Citation Date:
  Offense:   Disposition:
Citation Date:
  Offense:   Disposition:
Resume & Additional Information
If you have a resume, Please use the resume upload tool below. You are not required to complete the next section of this application.
After you have uploaded your resume please complete the bottom portion of the application on this page.
 
Do you have a resume?
 
Education History
High School:   Years Attended:   Diploma Type:
College:   Years Attended:   Diploma Type:
Trade School:   Years Attended:   Diploma Type:
List any skills you have that are relevant to the job for which you are applying:
Professional Licenses
Do you have HVAC & or plumbing skills? If so please select your level of competence from the drop down:
Please list any other professional licenses held:
License:   State:   Number:
License:   State:   Number:
License:   State:   Number:
Previous Employment
Are you currently employed ?  
Previous Employment - Job 1
Company Name:   Title / Position:   Salary / Wage:
Address:   City:  
State:
Zip:
Phone:   Supervisor:   May We Contact:
Start Date: End Date: Reason Left:
Description Of Duties:
 
Previous Employment - Job 2
Company Name:   Title / Position:   Salary / Wage:
Address:   City:  
State:
Zip:
Phone:   Supervisor:   May We Contact:
Start Date: End Date: Reason Left:
Description Of Duties:
 
Previous Employment - Job 3
Company Name:   Title / Position:   Salary / Wage:
Address:   City:  
State:
Zip:
Phone:   Supervisor:   May We Contact:
Start Date: End Date: Reason Left:
Description Of Duties:
 
Previous Employment - Job 4
Company Name:   Title / Position:   Salary / Wage:
Address:   City:  
State:
Zip:
Phone:   Supervisor:   May We Contact:
Start Date: End Date: Reason Left:
Description Of Duties:
 
Please explain all periods of unemployment:
 
Military Service
Are you a veteran?
If so, what branch?
  Enlistment Date:
List any special training that is relevant to the position you are applying for:   Discharge Date:
 
Professional References
Reference 1:
Name:   Company Name:   Relationship:
Phone:   Years Known:   May We Contact:
Reference 2:
Name:   Company Name:   Relationship:
Phone:   Years Known:   May We Contact:
Reference 3:
Name:   Company Name:   Relationship:
Phone:   Years Known:   May We Contact:
Emergency Contact
Name:   Phone Number:   Relationship:
Statement About False Information and Notification of Drug Screening Requirement

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment. I also understand that an incomplete or unsigned application will not be considered. I authorize investigation of statements contained herein and the reference listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you. I understand that, if hired, the employer follows an "employment at will" policy, in that I, or the employer, may terminate my employment at any time with or without cause. This "employment at will" policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the President of this organization (Power). I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment.

I understand that my employment is conditional based on successfully passing a drug screen. I hereby give my consent to use a specimen I provide to be tested for controlled substances and alcohol, when applicable. I authorize the Laboratory to perform any testing necessary to determine the presence and/or concentration in my body of said drugs and alcohol. I hereby voluntarily consent to release of the drug and alcohol test results to Power. This consent shall remain in effect for the length of my employment, and shall constitute authorization and release of information for drug and alcohol screening.

Applicant Notification
Fair Credit Reporting Act Disclosure
Power Plumbing, Inc. (Power)
. when considering your application for employment . when making a decision whether to offer you employment
. when deciding whether to continue your employment (if you are hired); and . when making other employment related decisions directly affecting you,
may wish to obtain and use a "consumer report" from a "consumer reporting agency." These terms are defined in the Fair Credit Reporting Act (FCRA), which applies to you. As an applicant for employment or employee of Power, you are a "consumer" with rights under the FCRA.
I. A "consumer reporting agency" is a person or business that, for monetary fees, dues, or on a cooperative nonprofit basis, regularly assembles or evaluates consumer credit information or other information on consumers for the purpose of furnishing "consumer reports" to others, such as Power.
II. A "consumer report" is written, oral, other communications of any information by a "consumer reporting agency" bearing on a consumer's credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics or mode of living which is used or collected for the purpose of serving as a factor in establishing the consumer's eligibility for employment purposes.
III. If Power obtains a "consumer report" about you, and if Power considers any information in the "consumer report" when making an employment related decision that directly and adversely affects you, you will be provided with a copy of the "Consumer report" before the decision is finalized. You also may contact the Federal Trade Commission about your rights under the FCRA as "consumer" with regard to "consumer reports" and "consumer reporting Agencies."

The purpose of this form is to notify you that a Consumer Report and/or Investigative Consumer Report will be conducted on you in the course of consideration for employment. I hereby authorize your company or any agent of Power to contact any and all corporations, former employers, credit agencies, educational institutions, law enforcement agencies, city, state, county, and federal courts and military services to release information about my background including, but not limited to, information about my employment, education, consumer credit history, driving record, criminal record, and general public records history to the person or company with which this form has been filed. This releases the aforesaid parties from any liability and responsibility for collecting the above information. This release shall remain in effect for the length of my employment. I understand that I have the right to obtain a free copy of this consumer report if; (1) Any adverse action/decision is made based on the information in the consumer report, & (2) if the request is made in writing within 60 days of the adverse action. If an Investigative Consumer Report is conducted, I will be notified in writing within three days from request of said report. I believe to the best of my knowledge that all information I have provided is accurate true and correct and that I fully understand the terms of this release.

The following is my true and complete legal name and all information is true and correct to the best of my knowledge:
 
Release of Information
Fields marked with "*" are required!
First Name:*   Middle Name:   Last Name:*
List any other names used in the last 7 years:
Other Name Used:   Other Name Used:   Other Name Used:
Date Of Birth:*   SSN #:   Drivers License/ID #:*
Date of Birth Information is Used for ID Purposes ONLY!
State:
*
Expires:*
Professional License:   State:   Number:
Current Address:
Address:*   City:*  
State:
*
Zip:*
List any other addresses used in the last 7 years:
Address:   City:  
State:
Zip:
Address:   City:  
State:
Zip:
Address:   City:  
State:
Zip:
Acceptance of Terms
I have read the above terms and notifications and by submitting this application I am indicating that I agree to these terms.
To protect the integrity of the application process and the private information transmitted by this application the IP Address information of [ 54.226.172.30] will be logged and retained along with this application in efforts to validate your digital signature and your acceptance of these terms.
Please type your full name in this box or your application will be discarded:
 
Please type EXACTLY "I agree" in this box or your application will be discarded:
 
 
 
Power Plumbing, Inc.  
All Rights Reserved
12507 Telge Road  
Power Plumbing, Inc. © 2015
Cypress, Texas 77429  
Phone: (281) 304-9392