Standard Plumbing Supply - Job Application

Application Date

First Name

Last Name

Phone

Cell Phone

Email

CURRENT ADDRESS

Address

City

State

Zip Code

*If you were in the previous residence less than three years, please add the address of the previous residence and the length of time you were there.

Address

City

State

Zip Code

Years here

APPLICATION INFO

Position applying for

Type Job

Store where you apply

Who referred you?

Rate of pay expected?

Have you worked for this company before?

From

To

Where?

Rate of Pay?

Position?

Reason for leaving?

Names of any relatives employed by this company

Are you currently employed?

If not,how long since leaving last employment?

EDUCATION

Education highest grade completed

1

2

3

4

5

6

7

8

9

10

11

12

College

1

2

3

4

Degree

GENERAL

Subjects of Special Study or Research Work

Job Related Skills (typing, driver’s license, etc.)

Activities Other Than Religious (civic, athletic, etc.)

EMPLOYMENT RECORD

Current Employer

Supervisor’s Full Name

Job Full Address

Phone

Position Held

From

Salary (Leave blank in California)

Reason for Leaving

Past Employer

Supervisor’s Full Name

Job Full Address

Phone

Position Held

From

To

Salary (Leave blank in California)

Reason for Leaving

Past Employer

Supervisor’s Full Name

Job Full Address

Phone

Position Held

From

To

Salary (Leave blank in California)

Reason for Leaving

REFERENCES (List below at least three persons not related to you, whom you have known at least one year.)

Name

Phone

How do you know this person

Years Acquainted

Name

Phone

How do you know this person

Years Acquainted

Name

Phone

How do you know this person

Years Acquainted

Job Application form