Employment Application

Step 1 of 6

Qualified applicants receive equal consideration. Legacy Plumbing pledges itself to continue its commitment to the achievement of equal opportunity. In this regard, we will recruit, hire, promote, educate and provide services to persons based upon their individual qualifications. We prohibit discrimination based on arbitrary considerations of such characteristics as race, color, national origin, religion, age, sex, marital status, disability, veteran status, or any other characteristic protected under local, state or federal law.
Which Position Are You Interested In?
Name*
First Middle Last
Current Address*
Street Address Address Line 2 City State ZIP Code
Years at Current Residence?*
Previous Address
Street Address Address Line 2 City State ZIP Code
Years at Previous Address?
Phone Number*
Email Address*
Salary Expected
Date Available
MM slash DD slash YYYY
Referred By
Have You Applied With Us Before?
- Yes
- No
If So, When?
Month
Day
Year
How Did You Become Aware of the Job Opening at Legacy Plumbing?
Type of Work You'd Like to Be Considered For?
Highlight your Knowledge, skills, and abilities which best demonstrate your qualifications

Personal Information
Are You Legally Authorized to Work in the US?*
- Yes
- No
Note: you will be required to furnish documents to verify your eligibility for employment in accordance with the Immigration Reform and Control Act and your employment is contingent upon furnishing such documents.
Are You At Least 18 Years of Age?*
- Yes
- No
Have you ever been convicted of any crime (including DUI and DWI), submitted a plea of Guilty, No Contest, Prayer for Judgement, or similar plea, or served probation as a result of deferred prosecution, pretrial intervention, or other similar agreement?*
- Yes
- No
If yes, please explain each conviction and state whether it was a felony or misdemeanor. Provide dates of any convictions.
Please note: Failure to list any convictions or special judgements may disqualify an applicant from consideration of employment. If any such omission is found during any period of subsequent employment, disciplinary action up to termination may result. Answering yes does not necessarily disqualify an applicant from employment.

Employment History
Please list your complete employment history. List present or most recent employer first. Use additional pages, if necessary.
Employer*
Employed From*
MM slash DD slash YYYY
Employed To*
MM slash DD slash YYYY
Type of Work Performed*
Starting Salary*
Ending Salary*
Reason for Leaving?*
Address*
Street Address City State ZIP Code
Name of Supervisor*
Phone Number*
May We Contact This Employer for a Reference?
- Yes
- No
Employer 2
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Type of Work Performed
Starting Salary
Ending Salary
Reason for Leaving?
Address
Street Address City State ZIP Code
Name of Supervisor
Phone Number
May We Contact This Employer for a Reference?
- Yes
- No
Employer 3
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Type of Work Performed
Starting Salary
Ending Salary
Reason for Leaving?
Address
Street Address City State ZIP Code
Name of Supervisor
Phone Number
Employer 4
Employed From
MM slash DD slash YYYY
Employed To
MM slash DD slash YYYY
Type of Work Performed
Starting Salary
Ending Salary
Reason for Leaving?
Address
Street Address City State ZIP Code
Name of Supervisor
Phone Number
May We Contact This Employer for a Reference?
- Yes
- No
May We Contact This Employer for a Reference?
- Yes
- No

Education
High School (Name & Location)
Diploma or GED?
- Yes
- No
College (Name & Location)
Major Courses Studied
How Many Years Did You Attend?
Diploma or Degree?
- Yes
- No
Trade School (Name & Location)
How Many Years Did You Attend?
Diploma or Degree?
- Yes
- No
List Any Other Degrees, Licenses, or Certifications Held
If you served in the United States Armed Forces, briefly describe the skills you acquired

References
List names, addresses and relationship of three persons not related to you who know your qualifications:
Name*
First Last
Phone*
Email*
Name*
First Last
Phone*
Email*
Name*
First Last
Phone*
Email*
Are You Currently Employed?
- Yes
- No
If So, May We Contact Your Present Employer?
- Yes
- No
Please Upload Your Resume
Max. file size: 50 MB.

Certification & Signature
I hereby certify that the answers given by me to the foregoing questions and statements are true and correct to the best of my knowledge without consequential omissions of any kind. I agree that the company shall not be held liable in any respect, if my employment is rejected or subsequently terminated, regardless of time of discovery, because of false statements, answers or omissions made by me in this application. I understand that any misleading or incorrect statements may render this application void, and if employed, may lead to employment termination. I consent to a drug test and a criminal history background check, as a part of the regular pre-employment screening. I also voluntarily and knowingly authorize the companies; schools or persons named herein to give any information requested regarding my former employment, character and qualifications. I hereby voluntarily and knowingly fully release and discharge, absolve, indemnify, and hold harmless said companies, schools or persons from any and all liability for any damages for issuing this information, except for the malicious and willful disclosure of derogatory facts concerning my employment made for the express purpose of preventing me from obtaining employment, I agree to conform to the rules and regulations of this organization. I further authorize that the company I am applying for with this application to rely upon and use, as it sees fit, any information received from such contacts. Information contained on this application may be disseminated to other agencies, nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by the company head or designee. I understand that any information regarding customers of Legacy Plumbing is confidential. I agree to keep this information in strict confidence and I will not use or disclose the information for the benefit of any person or entity other than Legacy Plumbing. I further agree that I will not pursue employment or contract opportunities with any customers of Legacy Plumbing discussed during my interview process for a minimum of ninety (90) days following the date of this application. Your employment relationship is based upon the mutual consent of you and the company and you are employed on an at-will basis. Employment at-will, compensation and this agreement may be terminated with or without notice at any time by the employee or the company. Nothing in the employee manual shall limit the right to terminate at-will employment.
By checking this box, I affirm that all of the answers given by me above are true and accurate as to the best of my knowledge. I acknowledge and I have read the above statements and accept all conditions.*
- I Affirm
By checking this box, I acknowledge I have read the above statement and accept this condition.*
- I Accept
Legacy Plumbing, Inc. is a drug free workplace. All new employees are drug tested. This shall be paid by the company, but this cost will deducted from the last paycheck of any employee who does not remain with company for a 90-day period.
Comments
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Employment Application

Step 1 of 6

Personal Information

Employment History

Education

References

Certification & Signature

Redefining Service

Sewer, Drain & Gas

Water Leaks

Water Heaters

Kitchen & Bath

Light Commercial

See All Services

Our Work is Our Word.

Get in Touch

Quick Links

Recognition

Sewer,
Drain
& Gas

Water
Leaks