Employment Application

Application Form
- Required *
- Personal Information
  Name *
  
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  Present Address *
  
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  City *
  
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  State *
  
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  Zip *
  
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  Permenant Address
  
  City
  
  State
  
  Zip
  
  Phone Number *
  
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  Referred by
  
  Employment Desired
  Position *
  
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  Date you can start? *
  
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  Salary Desired *
  
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  Are You Currently Employed? *
  
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  If So, May We Contact Your Present Employer? *
  
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  Have You Ever Applied To This Company Before? *
  
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  If So, When?
  
  Education Information
  
  Name & Location of School:
  
  Grammer School: *
  
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  Years Attended *
  
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  Did you graduate? *
  
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  Subjects Studied: *
  
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  Name & Location of School:
  High School *
  
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  Years Attended: *
  
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  Did you graduate? *
  
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  Subjects Studied *
  
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  Name & Location of School:
  College
  
  Years Attended
  
  Did you graduate?
  
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  Subjects Studied
  
  Name & Location of School:
  Trade, Business or Corospondence School:
  
  Years Attended
  
  Did you graduate?
  
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  Subjects Studied
  
  General Information
  Subjects of Special Study / Research Skills
  
  Certificates / Licenses
  
  U.S. Military / Navel Service
  
  Former Employers
  Please list your last four employers, starting with the latest one first
  
  Employer 1
  Dates of Employment *
  
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  Name, Address & Phone of Employer *
  
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  Salary *
  
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  Position *
  
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  Reason for Leaving *
  
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  Employer 2
  Dates of Employment
  
  Name, Address & Phone of Employer
  
  Salary
  
  Position
  
  Reason for Leaving
  
  Employer 3
  Dates of Employment
  
  Name, Address & Phone of Employer
  
  Salary
  
  Position
  
  Reason for Leaving
  
  Employer 4
  Dates of Employment
  
  Name, Address & Phone of Employer
  
  Salary
  
  Position
  
  Reason for Leaving
  
  References
  Please List Three References. References Are Considered Persons Not Related To You, Whom You Have Known For At Least One Year.
  
  Reference 1
  Name *
  
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  Address *
  
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  Business *
  
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  Phone *
  
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  Years Known *
  
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  Reference 2
  Name *
  
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  Address *
  
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  Business *
  
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  Phone *
  
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  Years Known *
  
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  Reference 3
  Name *
  
  Please enter Name
  
  Address *
  
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  Business *
  
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  Phone *
  
  Please enter Phone
  
  Years Known *
  
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- Security code *
  
  Entered text does not match; please try again
  
  Which day comes before friday?
  
  Security Answer *
  
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- Western New York Plumbing Co., Inc. recognizes the high hazard nature of the construction industry. A drug screen will be performed as part of a physical exam at some time during the first two weeks of employment.
  
  By clicking “APPLY” I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from any and all liability for any damage that may result from utilization of such information.
  
  I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, and my employment at will.
  
  Federal law prohibits discrimination in employment because of race, color, sex, religion, age, national origin, marital or veteran status, the presence of a non-related medical condition or disability, or any legally protected status.

New Construction

WNY Plumbing

Office Hours:
Monday-Friday 8:00 AM - 4:00 PM

Contact Us

WNY Plumbing Phone:
716-683-5455

Fax:
716-683-0991

Address:
487 Erie Street
Lancaster, New York 14086

Email: Click here