Join Our Team: Employment Opportunities at Eagle Service

Date:

First Name:

Middle Name:

Last Name:

Drivers License: State:

License Number:

SSN:

Have you ever been convicted of a felony?

Yes:

No:

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Current Address:

Number & Street Name:

City:

State:

Zip:

Home Phone:

Cell Phone:

Email:

Upload both sides of your AL driver’s license

Max. file size: 512 MB.

Upload the front side of your Plumber’s Card

Max. file size: 512 MB.

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Type(s) of Alabama Plumbing and/or Gas Cards that you CURRENTLY have:

Plumbing Card:

Apprentice:

Journeyman:

Master:

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Gas Card:

Apprentice:

Journeyman:

Master:

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Co you have a reliable means of tyransportation to get to work?:

Yes:

No:

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List ANY AND ALL possible conflicts that you may have with working or being “on-call”.
Include any possible conflicts with early mornings, nights, weekends, and holidays.

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Current Employer:

Date of Hire:

Supervisor:

May we contact your current employer?:

Yes:

No:

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List your responsibilities at work:

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If hired, on what date would you be able to start work?

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Do you hold a valid Driver’s License?

Yes:

No:

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Do you hols a valid CDL?

Yes:

No:

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If you hold a valid CDL, list the State and Class:

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List any reason(s) that your license is, or has ever been suspended:

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Have you been convicted of a DUI?

Yes:

No:

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If yes to DUI conviction, list the date of arrest(s) and conviction(s):

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List all tickets (of any kind) received during the following years:

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Year:

Number of Tickets:

Descriptions:

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2021

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2020

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2019

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2018

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2017

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2016

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2015

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Do you take ANY medications or drugs which may impair your ability to drive a vehicle, or to operate machinery?:

Yes:

No:

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If you answered yes, list the medications and/or drugs, and the prescribing doctor(s) name(s):

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I hereby certify that the facts set forth in the above driver information, are true and complete, to the best of my knowledge.

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Print Name:

Date:

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Signature

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Applicant’s Education Information:

School/Institution:

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GED

High School Degree

Trade School Degree

Other

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List ALL Certifications (current or expired):

Type/Description:

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Backflow Preventor Testing

Tankless Water Heater Installation Certification

Tankless Water Heater Repair Certification

Boiler Installation Certification

Boiler Repair Training or Certification

OSHA Certificate of Competency

EPA Card

Other:

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Plumbing Tools that you have experience with:

Type/Description:

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Sink Machine

Sewer Machine

Sewer Camera

Locating Equipment

Leak Detection Equipment

Trailer Jetter

Mini-Excavator

Other:

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List ALL Service Tools you currently own:

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Work History: List employers in order from current/most recent to first:

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Current (or last) Employer:

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Start Date:

End Date:

Starting Pay Rate:

Ending Pay Rate:

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Job description, responsibilities and work performed:

Reason(s) for leaving:

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Employer:

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Start Date:

End Date:

Starting Pay Rate:

Ending Pay Rate:

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Job description, responsibilities and work performed:

Reason(s) for leaving:

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Employer:

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Start Date:

End Date:

Starting Pay Rate:

Ending Pay Rate:

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Job description, responsibilities and work performed:

Reason(s) for leaving:

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Employer:

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Start Date:

End Date:

Starting Pay Rate:

Ending Pay Rate:

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Job description, responsibilities and work performed:

Reason(s) for leaving:

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Employer:

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Start Date:

End Date:

Starting Pay Rate:

Ending Pay Rate:

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Job description, responsibilities and work performed:

Reason(s) for leaving:

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Employer:

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Start Date:

End Date:

Starting Pay Rate:

Ending Pay Rate:

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Job description, responsibilities and work performed:

Reason(s) for leaving:

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Personal References: (Excluding Relatives)

Name:

Occupation:

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Name:

Occupation:

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Name:

Occupation:

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Name:

Occupation:

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Professional/Business References:

Plumbing Supply House:

Salesman/Contact Name:

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Plumbing Supply House:

Salesman/Contact Name:

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Plumbing Supply House:

Salesman/Contact Name:

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Name:

Plumber:

Phone:

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Name:

Plumber:

Phone:

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Name:

Plumber:

Phone:

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Name:

Occupation & Employer:

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Name:

Occupation & Employer:

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Name:

Occupation & Employer:

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To the Applicant:

The following information is needed to answer bonafide occupational qualifications, and is in compliance with national security laws or other legally permissable reasons.

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Male:

Female:

Height:

Weight:

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Marital Status: Single:

Engaged:

Married:

Separated:

Divorced:

Widowed:

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Have you ever been bonded?:

Yes:

No:

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If you have been bonded, for what job (s):

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Please list any attributes, experiences, skills, or qualifications which you feel would make you more eligible for this position than another person:

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Untitled

Application for Employment

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