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Application For Employment

Weltman Plumbing, Heating & Air is an Equal Opportunity Employer, and as such, prospective employees will receive consideration without discrimination of race, creed, color, sex, age, national origin, handicap status or veteran status.

Our full application agreement and a consent form is available here.

Incomplete applications will not be considered, even if a resume is included. Please complete ALL questions, and if necessary, use "N/A".

Last Name:
First Name:	Middle Initial:
Street Address:
City/Town:	State: ZIP:
Home Phone (With Area Code):
Social Security Number:
Email
Please list the three [3] most recent past employers including dates worked, contact name, telephone number and position held and describe the type of work you performed.
Employer 1
Employer's Name
Telephone Number (With Area Code):
Dates Employed - From:	To:
Final Hourly Wage:
Reason For Leaving:
Type Of Work Performed:
Employer 2
Employer's Name
Telephone Number (With Area Code):
Dates Employed - From:	To:
Final Hourly Wage:
Reason For Leaving:
Type Of Work Performed:
Employer 3
Employer's Name
Telephone Number (With Area Code):
Dates Employed - From:	To:
Final Hourly Wage:
Reason For Leaving:
Type Of Work Performed:

Have you ever filed an application with us before?

Are you currently employed?

Do you have commitments to another employer that might affect your employment with us?

If yes, please provide details:

May we contact your present employer?

Can you travel, if required to do so?

Are you currently on lay-off and subject to recall?

Are you able to work overtime on short notice?

Do you have a current and legally valid New Jersey State Driver's License?

If so, please enter your Driver's License Number:

Are there any pending proceedings which might take away your currently valid New Jersey State Driver's license for a period of time? (i.e. possible suspension)

Have you been convicted of an indictable offense or been convicted of any disorderly persons or local ordinance violations during the last seven [7] years?

If yes, please explain:

(Criminal convictions are not an automatic bar to employment but will only be considered in relation to specific job requirements)

Can you, before employment, submit verification of your legal right to work permanently in the United States? Please furnish the Company with a copy of the same.

Are you sixteen [16] years of age or older?

If you are under sixteen [16] years of age, please state your present age:

Can you perform the essential functions of the job you are being considered for?

Are you willing to work on a rotating basis, including Holidays and weekends?

Are you willing to attend educational seminars?

Briefly describe the reason(s) you want to leave your present place of employment, if applicable.

List any professional, trade, business or civic activities and/or offices held relative to your ability to perform the job to which you are applying.

List any/all certificates and/or licenses that you possess related to the job for which you are applying.

List three [3] references not living with you who can attest to your employment skills:

Reference 1

Name

Relationship:

Telephone Number (With Area Code):

Reference 2

Name

Relationship:

Telephone Number (With Area Code):

Reference 3

Name

Relationship:

Telephone Number (With Area Code):

List any additional information that you feel may be helpful to us in considering your application

Where do you see yourself five years from now?

Are you interested in money, or just doing your job well?

What event has occurred within the last five years that has had a significant impact on your life, and why?

All good companies judge an employee's performance against certain standards and benchmarks. What standards or benchmarks do you think should be used to judge you and why?

Please list any/all schools attended and levels/degrees achieved/completed:

College

Name & Location

Course Of Study

# Of Years Completed

Did You Graduate?

If Yes, What Year Did You Graduate?

Degree

Junior College

Name & Location

Course Of Study

Number Of Years Completed

Did You Graduate?

If Yes, What Year Did You Graduate?

Degree

High School

Name & Location

Course Of Study

Number Of Years Completed

Did You Graduate?

Degree

Trade School

Name & Location

Course Of Study

Number Of Years Completed

Did You Graduate?

If Yes, What Year Did You Graduate?

Degree

Other School

Name & Location

Course Of Study

Number Of Years Completed

Did You Graduate?

If Yes, What Year Did You Graduate?

Degree

The following box is your digital signature. By checking, you agree to the terms to apply for work with Weltman Plumbing.

80 Industrial Road
Berkeley Heights, NJ 07922
1-888-WELTMAN | 908-241-3600