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? Training/Special SkillsSpecific Training/SkillsDescribe and special training or skills that make you an ideal candidate for this position.U.S. Military or Navy ServicePlease list military branch and rank.Employment ReferencesEmployment Reference #1*Please include: Name, address, phone numberJob Title*Supervisors Name*Start Date* End Date* Job Duties*Starting Wages (Hourly)*Ending Wages (Hourly)*Reason For Leaving?*Employment Reference #2*Please include: Name, address, phone numberJob Title*Supervisors Name*Start Date* End Date* Job Duties*Starting Wages (Hourly)*Ending Wages (Hourly)*Reason For Leaving?*Employment Reference #3*Please include: Name, address, phone numberJob Title*Supervisors Name*Start Date* End Date* Job Duties*Starting Wages (Hourly)*Ending Wages (Hourly)*Reason For Leaving?*Personal ReferencesPlease 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 belowDate* Resume/Cover LetterUpload your resume and/or cover letter here. Drop files here or Accepted file types: jpg, gif, pdf, png, doc, docx.