Employee Application | Farr Better Plumbing

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Date Available to Start*

Social Security Number*

Desired Salary*

Are you a citizen of the United States?*

No

Yes

Are you authorized to work in the U.S.?*

No

Yes

Have you ever worked for Farr Better Plumbing?*

No

Yes

When?*

Have you ever been convicted of a felony?*

No

Yes

Please explain your conviction*

Educational Background

Highest level of Education Completed*

Last Grade Completed*

School Name*

Field of Study*

Degree/Major*

Years Completed*

Graduation Year*

References

Please list 3 professional references.

List*

Name

Company

Relationship

Phone

Employment History

Have you ever been employed?*

No

Yes

Employers

Company*

Job Title*

Address*

Street Address City State

Supervisor*

Phone*

Responsibilities*

May we contact for a reference?*

No

Yes

*

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Digital Signature*

Date*