Employment Application

*All of our technicians are drug screened and background checked.*

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Best way to reach you?*
- Phone
- Email
Position Desired*
Salary Desired*
Have you applied to Robison Plumbing before?*
- Yes
- No
If yes, when?
Date Format: MM slash DD slash YYYY
Training/Special Skills
Specific Training/Skills
Describe and special training or skills that make you an ideal candidate for this position.
U.S. Military or Navy Service
Please list military branch and rank.
Employment References
Employment Reference #1*
Please include: Name, address, phone number
Job Title*
Supervisors Name*
Start Date*
Date Format: MM slash DD slash YYYY
End Date*
Date Format: MM slash DD slash YYYY
Job Duties*
Starting Wages (Hourly)*
Ending Wages (Hourly)*
Reason For Leaving?*
Employment Reference #2*
Please include: Name, address, phone number
Job Title*
Supervisors Name*
Start Date*
Date Format: MM slash DD slash YYYY
End Date*
Date Format: MM slash DD slash YYYY
Job Duties*
Starting Wages (Hourly)*
Ending Wages (Hourly)*
Reason For Leaving?*
Employment Reference #3*
Please include: Name, address, phone number
Job Title*
Supervisors Name*
Start Date*
Date Format: MM slash DD slash YYYY
End Date*
Date Format: MM slash DD slash YYYY
Job Duties*
Starting Wages (Hourly)*
Ending Wages (Hourly)*
Reason For Leaving?*
Personal References
Please include the names and phone numbers of three people not related to you, that you've known for more than a year.
Personal Reference #1*
First Last
Phone*
Personal Reference #2*
First Last
Phone*
Personal Reference #3*
First Last
Phone*
Authorization*
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application may be grounds for dismissal. I authorize investigations of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter in to any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization form from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment." In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
- I agree to the above statement.
E-signature*
Please type your name below
Date*
Date Format: MM slash DD slash YYYY
Resume/Cover Letter
Upload your resume and/or cover letter here.
Drop files here or

Accepted file types: jpg, gif, pdf, png, doc, docx.

Training/Special Skills

Employment References

Personal References

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