EMPLOYEE APPLICATION

Peltram Plumbing, Inc. is proud to be a Drug Free Company. All new hires are subject to pre-employment drug screening. All active employees are subject to random drug testing throughout the year. Peltram Plumbing, Inc is an Equal Opportunity Employer. We recommend that you apply for a position by filling out the on-line application that is provided on this page. However, if you may print out an application and submit it by mail to the following address:

Peltram Plumbing
Corporate Headquarters
1929 W. Valley Hwy S, Suite 101
Auburn, WA 98001
Untitled
PERSONAL INFORMATION
Name:
Adderess:
City:
State:
Zip:
Phone Number:
Birthdate:
Are you a US Citizen Authorized to work in the US:
YES NO
Referred By:

EMPLOYMENT DESIRED
Position:
Date You Can Start:
Salary Desired:
Are You Employed Now:
YES No
If YES, may we contact them:
YES No

EDUCATION
School Type School Name and Location Years Attended Graduate Subject Studied or Degree Recieved
Grammar YES NO
High School YES NO
College YES NO
Trade School YES NO

GENERAL
Special Skills:
Other Activities (civic, athletic, etc):

FORMER EMPLOYERS

List your last four employers starting with most recent

Date (Month & Year) Employer Name and Address Salary (upon leaving) Position Reason For Leaving
From:
To:  
From:
To:  
From:
To:  
From:
To:  

HAVE YOU BEEN CONVICTED OF A FELONY IN THE PAST 10 Years?

YES NO

If yes, explain conviction(s), nature of offense(s), state where offense(s) occurred, and sentence(s) imposed by the Court.


REFERENCES

LIST BELOW THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOW AT LEAST ONE YEAR.

Name Address Business Years Known
1.
2.
3.
4.

EMERGANCY CONTACT
In case of Emergancy Contact:
Address:
Phone:

AUTHORIZATION

I AUTHORIZE INVESTIGATION ON ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OF INFORMATION REQUESTED IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINATE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT CAUSE AND WITHOUT ANY PREVIOUS NOTICE. PELTRAM PLUMBING, INC. IS PROUD TO BE A DRUG FREE COMPANY. ALL NEW hIRES ARE SUBJECT TO PRE-EMPLOYMENT DRUG SCREENING. ALL ACTIVE EMPLOYEES ARE SUBJECT TO RANDOM DRUG TESTING THROUGHOUT THE YEAR.

I hereby accept these terms