Job Application KateW January 20, 2022 January 20, 2022 APPLICANT INFORMATION Position applying for First and Last name Your full address Your phone number Your email Desired pay? [dollars per hour] EMPLOYMENT ELIGIBILITY Are you a US Citizen? YesNo If No, are you allowed to work in the US? YesNo Have you ever worked for KS Plumbing, Inc. before? YesNo If yes, when was your last day of work with KSP? Do you have a valid drivers license? YesNo Do you have any driving tickets/accidents in the last 3 years? YesNo EMPLOYMENT HISTORY **Please provide all previous employment information for the last three years. Current or Last Employer #1 Last Employer Phone or Address Date of Hire Last Day of Work Positions held at the Company Description of Job Responsibilities Are we able to contact this previous employer for a reference? YesNo If Yes, provide name of boss If No, please explain ____________________________________ Current or Last Employer #2 Last Employer Phone or Address Date of Hire Last Day of Work Positions held at the Company Description of Job Responsibilities Are we able to contact this previous employer for a reference? YesNo If Yes, provide name of boss If No, please explain ____________________________________ Current or Last Employer #3 Last Employer Phone or Address Date of Hire Last Day of Work Positions held at the Company Description of Job Responsibilities Are we able to contact this previous employer for a reference? YesNo If Yes, provide name of boss If No, please explain ____________________________________ CERTIFICATIONS / EDUCATION Are you a high school graduate? YesNo Are you a college graduate? YesNo What degrees, certifications or classes have you taken? Please be thorough. **If you are chosen for an interview, please bring copies of your certificates. Are you a PHCC or ABC NorCal Apprentice Graduate? YesNo If Yes, the year you graduated If No, are you interested in the Apprenticeship program? YesNo Are you OSHA 10 or OSHA 30 trained? YesNo REFERENCES Please provide an additional employer reference name and contact information (phone, email). What was this person's position and relation to you in the company? **Only required if two references are not provided in above previous employment history session. Please provide an additional personal reference name and contact information (phone, email). **CANNOT be parent, sibling or spouse. OTHER What do you like to do outside of work, such as hobbies, sports, etc.? If there is anything else you would like to share, please do so here. Please show us you are human *Time limit exceeded. Please complete the captcha once again. 6 × one = Δ
