Employee Application Form

Please fill out all of the sections below:

Applicant Information

Applicant’s Name:*

Address:*

Telephone Number:*

E-mail:*

Date of Application:*

Employment Position

Position(s) applying for:*

How did you hear about this position?:*

What days are you available for work?:*

What hours or shift are you available for work?:*

If needed, are you available to work over time?:*

On what date can you start to work if you’re hired?:*

Do you have reliable transportation to and from work?:*

Do you have a valid Driver’s License?:*

Salary Desired:*

Personal Information

Do you have any friends, relatives, or acquaintances working for Lamas Plumbing & Heating?:*
YesNo

If yes, state name and relationship:*

Are you 18 years of age or older?:*
YesNo

Do you have any condition which would require job accommodations?:*
YesNo

If yes, please describe accommodations required:*

Personal Information

Please list below the skills and qualifications you possess for the position for which you are applying:*

(Note: Lama’s Plumbing & Heating complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicant/employees to perform essential functions).

Previous Employment

Employer Name:*

Job Title:*

Supervisor Name:*

Employer Address:*

Employer Telephone Number:*

Dates Employed:*

Starting Salary:*

Ending Salary:*

Reason for leaving:*


Employer Name:*

Job Title:*

Supervisor Name:*

Employer Address:*

Employer Telephone Number:*

Dates Employed:*

Starting Salary:*

Ending Salary:*

Reason for leaving:*


Employer Name:*

Job Title:*

Supervisor Name:*

Employer Address:*

Employer Telephone Number:*

Dates Employed:*

Starting Salary:*

Ending Salary:*

Reason for leaving:*

Please provide 3 personal and professional references below:*

References

Contact Information