Office Application "*" indicates required fields Date MM slash DD slash YYYY Name* First Middle Last DOB*Social Security #*Current Address* Street Address City State ZIP How long?Previous Address* Street Address City State ZIP How long?*Cellular Phone*Home Phone*Email Address* Position Desired*Desired Pay*Start Pay*What are your dates of availability?*Do you possess a valid driver's license?* Yes No Which state?*Driver’s license #*Are you legally authorized to be employed in the USA?* Yes No Have you ever been convicted of a criminal offense?* Yes No If yes, please explain Education Information Please list all education history below. High School*School Name, City and StateCourse of Study/MajorGraduated (Yes/No)Degree Received Add RemoveCollege*School Name, City and StateCourse of Study/MajorGraduated (Yes/No)Degree Received Add RemoveOtherSchool Name, City and StateCourse of Study/MajorGraduated (Yes/No)Degree Received Add Remove Employment History List all work experience beginning with your current or most recent position. Company Name*Your Title*Employed from*to*Starting Salary*Ending Salary*Address* Street Address City State ZIP Name/Title of Immediate Supervisor*Telephone*Reason for leaving*Description Responsibilities*Company NameYour TitleEmployed fromtoStarting SalaryEnding SalaryAddress Street Address City State ZIP Name/Title of Immediate SupervisorTelephoneReason for leavingDescription ResponsibilitiesCompany NameYour TitleEmployed fromtoStarting SalaryEnding SalaryAddress Street Address City State ZIP Name/Title of Immediate SupervisorPhoneReason for leavingDescription ResponsibilitiesCompany NameYour TitleEmployed fromtoStarting SalaryEnding SalaryAddress Street Address City State ZIP Name/Title of Immediate SupervisorPhoneReason for leavingDescription ResponsibilitiesMay we contact the employers listed above?* Yes No If not, indicate the one(s) you do not wish us to contact.What Job Functions have you performed? (Select all that apply)* Activity Reporting Activity Tracking Advertising (broadcast) Advertising (online) Advertising (print) Backflow Brazing Budgeting Building Codes Business Development Call Center Management Carpentry Change Orders Channel Development Chemical Drain Treatment Chemical Septic Tank Treatment Clamping Client Interaction Client/Account Management Cold Calling Commission Development Driving Drywall Repair Engineer/PE Estimator Executive Expense Reports Facility Manager Field Supervisor Flaring Forecasting Foreman Four-Wheel Steel Pipe Cutter Gasket Join General Construction General Manager Gluing Goal Setting Hydro Jetting Hydrostatic Testing Inspector International International Plumbing Code Negotiate Contracts NFSA Apprentice Program OEM One-Wheel Steel Pipe Cutter Operate Power Tools Operations Manager P&L PHCC Apprentice Program Pipe Bending Pipe Cutting Pipe Joining Pipe Threading Pipe Threading Machine Piping Plan-O-Grams/Schematics Plan/Spec Policy/Procedure Development Power Driven Vise Stand Power Tools Prepare Financial Reports Presentation Preparation Preventative Maintenance Rough-In Safety Coordinator Sales Sales - In Home Sales - Residential Sales - Retail Sales - Wholesale Sales Management, Area Sales Management, National Sales Management, Regional Sales Training Development Service Service Agreements Sewer Snakes Shipping Coordination Shipping/Receiving Sizing Pipes Soldering Staffing Steamfitter Strategic Alliances Superintendent* Computer Literate Consultative Selling Contract Negotiations Contract/Proposal Preparation Conventions/Trade Shows Cross Connection Customer Service Cutting Torch Data Entry Department Forecasting Design/Build Designer Develop Relationships/Alliances Dispatcher Drafting Draftsman Drain Cleaning Inventory Control Journeyman Layout Lead Generation Lead Management Lead Oakum Joint Leadership Leak Detection Leak Detection Equipment Machine Operator Maintenance Maintenance - Apartment Manager Manufacturer Rep Market Analysis Material Handler National Standard Plumbing Code Product Demonstration Production Production Specialist Project Management Project Scheduling Promotions Development Proposal Development Proposal Presentation Prospecting/Lead Generation Punch List Purchase Orders Purchasing Quality Assurance/Control Re-Piping Report Generation Reporting Research Supervision Take-offs Team Building Technician Telemarketing - Inbound Telemarketing - Outbound Territory Management Trainer Troubleshooting Tubing Cutter ULF (Ultra Low Flush) Under Slab Re-Route Under Slab Repairs Uniform Plumbing Code Vendor Coordination Water Service Welding What Computer related experience do you have? (Select all that apply)* ACT Approach AutoCad Estimation (software) Goldmine MS Access MS Excel MS Office MS PowerPoint MS Word QuickPen SalesLogix WinSales What special skills or talents do you have from which our company will benefit?*What do you think will the greatest challenge for you in this position?*What character qualities do you possess that would be important as a staff member?* Certifications Please list certifications you currently hold or will hold by the start of employment. Certifications*CertificationExp. Date Add Remove Personal References List three individuals able to give character references. You should include former employers but not your relatives. Name*Work Phone*Home PhoneAddress* Street Address City State ZIP Occupation*Relationship to Applicant*NameWork PhoneHome PhoneAddress Street Address City State ZIP OccupationRelationship to ApplicantNameWork PhoneHome PhoneAddress Street Address City State ZIP OccupationRelationship to Applicant IMPORTANT - PLEASE NOTE • Logical Plumbing will need your signature authorizing a criminal background check. • Logical Plumbing will require all new hires to complete a drug screen before work can begin. • Drugs and Alcohol are not allowed. AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING) I certify that my application and all attachments are true and complete to the best of my knowledge. I understand that any incorrect, incomplete, or false statements or information furnished by me may, at the discretion of Logical Plumbing, disqualify me from employment, or cause my dismissal. I hereby authorize Logical Plumbing to make a thorough investigation of my past employment and activities. I release from liability Logical Plumbing, former employers, or any persons supplying such information. The language in this application is not intended to create, nor is it to be misconstrued to constitute, a contract of employment. I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Logical Plumbing creates an actual or implied contract of employment. I understand that, if I accept employment with Logical Plumbing, it will be on an at-will basis. This means that either Logical Plumbing or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I agree to submit to drug and alcohol testing, if requested by Logical Plumbing. I release Logical Plumbing, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize Logical Plumbing to investigate information concerning my education, licensing, certifications, driving record, criminal history, employment experiences and all other aspects of my background relevant to my proposed employment. I release Logical Plumbing and its employees from all liability arising from such investigation. Signature of Applicant*Date* MM slash DD slash YYYY Print Name*Logical Plumbing is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Logical Plumbing depends solely on your qualifications.YOU ARE WELCOME TO ATTACH A RESUME OR OTHER INFORMATION IF YOU FEEL IT WILL GIVE US FURTHER INSIGHT INTO YOUR QUALIFICATIONS. PLEASE MAKE COPIES OF THE INCLUDED REFERENCE FORM • Tell me about yourself. • What do you know about Logical Plumbing? • What motivates you? How do you motivate others? • How do you handle stress? How do you know when you are getting stressed? • Tell me about any confrontations you have had and how you handle them? • Please describe 3 strengths and 1 weakness about yourself? • What type(s) of people do you have difficulty working with? • Describe some of your most important career accomplishments. • Why are you leaving or left your last job? • What can you contribute to Logical Plumbing if you are hired?Attach ResumeMax. file size: 128 MB. Plumber Application "*" indicates required fields Date MM slash DD slash YYYY Name* First Middle Last DOB*Social Security #*Current Address* Street Address City State ZIP How long?Previous Address* Street Address City State ZIP How long?*Cellular Phone*Home Phone*Email Address* How did you hear about our company?*Position Desired*Employment Type Desired* Full-Time Part-Time What are your dates of availability?*Desired Pay*Start Pay*Do you possess a valid driver's license?* Yes No Which state?*Driver’s license #*Are you legally authorized to be employed in the USA?* Yes No Citizenship/Work Status* US Citizen Green Card Holder US Work Permit/Visa Canadian Canadian Work Permit/Visa Have you ever been convicted of a criminal offense?* Yes No If yes, please explain Education Information Please list all education history below. High School*School Name, City and StateCourse of Study/MajorGraduated (Yes/No)Degree Received Add RemoveCollege*School Name, City and StateCourse of Study/MajorGraduated (Yes/No)Degree Received Add RemoveTrade SchoolSchool Name, City and StateCourse of Study/MajorGraduated (Yes/No)Degree Received Add RemoveProfessional SchoolSchool Name, City and StateCourse of Study/MajorGraduated (Yes/No)Degree Received Add Remove Please list your work experience for the past five years beginning with your most recent job. Name of Employer*Name of Supervisor*Phone Number*Starting Salary*Ending Salary*Address* Street Address City State ZIP From Date*To Date*Your Last Job Title*Specific Reason for Leaving:*List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.*May we contact this employer?* Yes No Name of EmployerName of SupervisorPhone NumberStarting SalaryEnding SalaryAddress Street Address City State ZIP From DateTo DateYour Last Job TitleSpecific Reason for Leaving:List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.May we contact this employer? Yes No Name of Employer:Name of SupervisorPhone NumberStarting SalaryEnding SalaryAddress Street Address City State ZIP From DateTo DateYour Last Job TitleSpecific Reason for LeavingList the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.May we contact this employer? Yes No Name of EmployerName of SupervisorPhone NumberStarting SalaryEnding SalaryFrom DateTo DateAddress Street Address City State ZIP Your Last Job TitleSpecific Reason for LeavingList the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.May we contact this employer? Yes No Name of EmployerName of SupervisorPhoneStarting SalaryEnding SalaryAddress Street Address City State ZIP From DateTo DateYour Lat Job TitleSpecific Reason for LeavingList the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.May we contact this employer? Yes No PLUMBING INDUSTRY SKILLS SECTION INSTRUCTIONS: ONLY select the specific industry skills that you consider yourself to be very knowledgeable about, with a high level of competency. What types of systems have you worked with? (Select all that apply)* Backflow Prevention Boilers Chilled Water Chillers Circulating Systems Cold Water Systems Compressed Air Systems Distribution Systems Drainage Systems Fire Sprinkler Systems Geo Thermal Heating Systems Hot Water Systems Hydronic In-Floor Irrigation Systems Medical Gas Systems Radiant Heating Sanitation Systems Septic Systems Storm Drainage Systems Water Conditioners Water Filtration Systems Water Heaters Water Purification Systems Well Water Systems What types of pipe and lines have you worked with? (Select all that apply)* ABS Pipe Air Lines Black Iron Pipe Cast Iron Pipe Copper Pipe CPUC Pipe DMV Pipe FIP (Female Iron Pipe) Flexible Hoses Fuel Galvanized Pipe Glass Pipe Hydraulic Lines IPS (Iron Pipe Size) Lead Pipe LPG (Liquid Propane Gas) MIP (Male Iron Pipe) Natural Gas Oil Oxygen Lines Pneumatic Lines Propane PVC Pipe Sanitary Lines Sewer Line Steel Pipe Supply Lines Vacuum Lines Vitrified Clay Pipe Water What Applications do you have experience with? (Select all that apply)* Aircraft Clean Rooms Commercial Floating Floor Government Projects Grocery Stores Hospitals Industrial Marine Multi-Family Off-Shore Pools Public Utilities Residential Restaurants Schools What specific parts, pumps, valves, fittings, etc. have you worked with? (Select all that apply)* Aerator Air Admittance Valves Air Gaps Ball Valves Bath Tubs Bidets Closet Flanges Commodes Compressors Dish Washers Diverter Dual Check Valves Fittings Fixed Flow Restrictors Flange Fixtures Garbage Disposals Grease Traps Ice Machines Instant Hot Water Interceptors Leaders Lift Stations Lint Traps Mixing Valves PEX Insert Fittings and Valves Pressure Balance Valve Pressure Reducing Valves Pumps Roof Drains Separators Sewage Ejectors Showers Sinks Sump Pumps Supply Stops Thermostatic Valve Traps Urinals Vacuum Breaker Valves Vent Water Hammer Arrestors What Job Functions have you performed? (Select all that apply)* Activity Reporting Activity Tracking Advertising (broadcast) Advertising (online) Advertising (print) Backflow Brazing Budgeting Building Codes Business Development Call Center Management Carpentry Change Orders Channel Development Chemical Drain Treatment Chemical Septic Tank Treatment Clamping Client Interaction Client/Account Management Cold Calling Commission Development Driving Drywall Repair Engineer/PE Estimator Executive Expense Reports Facility Manager Field Supervisor Flaring Forecasting Foreman Four-Wheel Steel Pipe Cutter Gasket Join General Construction General Manager Gluing Goal Setting Hydro Jetting Hydrostatic Testing Inspector International International Plumbing Code Negotiate Contracts NFSA Apprentice Program OEM One-Wheel Steel Pipe Cutter Operate Power Tools Operations Manager P&L PHCC Apprentice Program Pipe Bending Pipe Cutting Pipe Joining Pipe Threading Pipe Threading Machine Piping Plan-O-Grams/Schematics Plan/Spec Policy/Procedure Development Power Driven Vise Stand Power Tools Prepare Financial Reports Presentation Preparation Preventative Maintenance Rough-In Safety Coordinator Sales Sales - In Home Sales - Residential Sales - Retail Sales - Wholesale Sales Management, Area Sales Management, National Sales Management, Regional Sales Training Development Service Service Agreements Sewer Snakes Shipping Coordination Shipping/Receiving Sizing Pipes Soldering Staffing Steamfitter Strategic Alliances What Computer related experience do you have? (Select all that apply)* ACT Approach AutoCad Estimation (software) Goldmine MS Access MS Excel MS Office MS PowerPoint MS Word QuickPen SalesLogix WinSales What Certifications & Licenses do you have? (Select all that apply)* Apprentice Plumber License ASPE - CPD (Certified in Plumbing Design) IAPMO Certified Inspector ICC Commercial Plumbing Inspector ICC Plumbing Code Official ICC Plumbing Inspector ICC Plumbing Plans Examiner ICC Residential Plumbing Inspector Journeyman Plumber License Master Plumber License NSF Certification Registered Professional Engineer Include State and License Numbers for any licenses selected above, if applicable*Other Licenses & Certifications held* Please list 3-4 people you have worked with who can attest to your On-the-Job experience and performance. Name*Position*Company*Telephone*NamePositionCompanyTelephoneNamePositionCompanyTelephoneNamePositionCompanyTelephone IMPORTANT - PLEASE NOTE • Logical Plumbing will need your signature authorizing a criminal background check. • Logical Plumbing will require all new hires to complete a drug screen before work can begin. • Drugs and Alcohol are not allowed. AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING) I certify that my application and all attachments are true and complete to the best of my knowledge. I understand that any incorrect, incomplete, or false statements or information furnished by me may, at the discretion of Logical Plumbing, disqualify me from employment, or cause my dismissal. I hereby authorize Logical Plumbing to make a thorough investigation of my past employment and activities. I release from liability Logical Plumbing, former employers, or any persons supplying such information. The language in this application is not intended to create, nor is it to be misconstrued to constitute, a contract of employment. I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Logical Plumbing creates an actual or implied contract of employment. I understand that, if I accept employment with Logical Plumbing, it will be on an at-will basis. This means that either Logical Plumbing or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I agree to submit to drug and alcohol testing, if requested by Logical Plumbing. I release Logical Plumbing, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize Logical Plumbing to investigate information concerning my education, licensing, certifications, driving record, criminal history, employment experiences and all other aspects of my background relevant to my proposed employment. I release Logical Plumbing and its employees from all liability arising from such investigation. Signature of Applicant*Date* MM slash DD slash YYYY Print Name*Logical Plumbing is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Logical Plumbing depends solely on your qualifications.YOU ARE WELCOME TO ATTACH A RESUME OR OTHER INFORMATION IF YOU FEEL IT WILL GIVE US FURTHER INSIGHT INTO YOUR QUALIFICATIONS.Attach ResumeMax. file size: 128 MB. Plumber Ability Questionnaire1. What is done to a naturel gas or propane line after installed?*2. Where is the circulator pump installed on a hot water boiler?*3. How is vertical piping supported going down or up a wall for commercial application?*4. What is the reason for a pressure relief valve to leak on a boiler/water heater?*5. What would increase the length of flush for a Sloan Flush Valve?*6. How is copper attached to galvanized to prevent rusting?*7. What type of solder is used on a domestic water line?*8. What size cable should be used to snake out a residential tub drain using a rigid K-60?*9. How would you proceed to free an impeller of an obstruction on a lift station grinder pump?*10. When repairing a rusted sanitary stack in a 5-story building, what should be done first?*11. The minimum size of a water service is?*12. CPVC piping should never com in to contact with?*13. A (blank) is a sacrificial rod that is installed in a water heater to protect the tank from any possible corrosion and to extend the tank's life*14. Gray water is a type of wastewater that comes from what fixtures?*15. What size pipe is needed for drainage on a three-compartment sink?*16. A dual check backflow should have a (blank) installed before the inlet.*17. What is an expansion tank for?*18. How would you service a men's bathroom group of urinals if the stoppage was in the main and you could not get a drop head to go down the vertical stack?*19. What type of device prevents sewer gas from entering a building?*20. How would you hydro jet a stoppage in the branch line off of a grease main?*Tell me about yourself.*What do you know about Logical Plumbing?*What motivates you? How do you motivate others?*How do you handle stress? How do you know when you are getting stressed?*Tell me about any confrontations you have had and how you handle them?*Please describe 3 strengths and 1 weakness about yourself?*What type(s) of people do you have difficulty working with?*Describe some of your most important career accomplishments.*Why are you leaving or left your last job?*What can you contribute to Logical Plumbing if you are hired?* MVR RELEASE CONSENT FORMIn conjunction with my employment, at ("the company"),*I (employee/applicant name) Consent to the release of my Motor Vehicle Record (MVR) to the insurance agency, O'Neil, Lee & West, Inc. I understand the company will use these records to evaluate my suitability to fulfill driving duties that may be related to the position for which I am applying. I also consent to the review, evaluation, and other use of any MVR I may have provided to the company.*This consent is given in satisfaction of Public Law 18 USC 2721 et. Seq.. "Federal Drivers Privacy Protection Act", and is intended to constitute "written consent" as required by this Act.Employee/Applicant Signature*Date* MM slash DD slash YYYY Date of Birth* MM slash DD slash YYYY Social Security Number (last 4 digits)*Drivers' License Number*Issuing State*
