Spinello Plumbing & Heating is an Equal Opportunity Employer and does not discriminate because of race, creed, color, national origin, ancestry, age, sex, marital status, handicap, or liability for services in the armed forces.

ON-LINE APPLICATION FOR EMPLOYMENT

Position Desired

Hours You Can Work:

Monday		to
Tuesday		to
Wednesday		to
Thursday		to
Friday		to
Saturday		to
Sunday		to

Full Time Part Time Either

Do you have means of private transportation should you be considered for employment in an area lacking in public transportation? Yes No

Date you can begin work:

Do you know of any restrictions, personal or otherwise, which would restrict the hours you work? Yes No

Salary Desired:
hr wk annual

If YES, explain:

Personal Identification

Name	Social Security Number
Present Address	Drivers License Number
City	Phone Number
State Zip	Emergency Phone Number
How Long?	Email Address
Permanent Address	Citizen of U.S. Yes No
City	If NO, do you have a Work Visa?Yes No
State Zip	Are you 18 or over? Yes No
How Long?	If not, how old? Do you have working papers? Yes No

Previous Employment Record (starting with your present or last job, NOT EACH JOB HELD)

Employer	Type of business
Address	Phone Number
Starting date Leaving date	Starting earnings Leaving earnings
Starting duties	Leaving duties
Reason for termination
Last immediate supervisor's name and title

Employer	Type of business
Address	Phone Number
Starting date Leaving date	Starting earnings Leaving earnings
Starting duties	Leaving duties
Reason for termination
Last immediate supervisor's name and title

Employer	Type of business
Address	Phone Number
Starting date Leaving date	Starting earnings Leaving earnings
Starting duties	Leaving duties
Reason for termination
Last immediate supervisor's name and title

Education	Name of School City & State	Major Courses or Subjects	Highest Grade Completed	Did you Graduate?
Elementary				Yes No
High School				Yes No
College or University				Yes No
Graduate School				Yes No
Professional School				Yes No

Are you attending school? Yes No

Where?

Number of current credit hours

Total credit hours to date

Graduation date

Grade point average

Personal References (Not relatives or previous employers)

	Name	Address	Occupation	Phone Number
1
2

Miscellaneous

Have you ever filed an application with our company? Yes No

If YES, approximate dates of previous applications

Have you ever been employed by our company in the past? Yes No

If YES, approximate dates and locations

What special skills or qualifications do you possess?

Do you have relatives employed? Yes No

If yes, whom?

How long do you feel you need part-time work?

Who referred you to us?

Are you working more than one job? Yes No

If yes, explain

Have you ever been convicted of any crime other than a traffic violation? Yes No

If yes, state nature of crime

Have you ever been discharged or asked to resign by any former employer? Yes No

If yes, explain in detail

Are there any employers whom you DO NOT with us to contact?

Applicant's Agreement

In completing and submitting this on-line application for employment, I understand that misrepresentation or omission of facts is cause for cancellation of this application or separation from he company's service if I am employed. I agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers, or omissions made by me on this application.

I understand further that information concerning my past record will be sought from my previous employers and other sources and I hereby release from all liability or damages those individuals, corporations, or organizations, who provide such information. I understand any such information provided shall become the exclusive property of the company.

After reading the above, to indicate your agreement,

If you do not want to submit this application please click before leaving this page so all information on this page is deleted permanently.

No applicant will be excluded from consideration for employment due to prior arrests or convictions

Spinello Plumbing Colonia, New Jersey 07067 p732.396.4900 email info@spinelloplumbing.com

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