Legacy Plumbing: Roseville Plumber | Residential & Commercial Sacramento Plumbing | Professional Roseville & Sacramento Plumbers

Pre-Employment Application

Please complete the following form:

ONLINE APPLICATION

Date:
Name:
Street Address:
City:
State / ZIP:
Phone:
Best Time To Contact You:
CA Drivers License No:
CA Driver License Classification:
Do you have a good driving record? If not, please explain:	Yes No
Position You Are Applying For:
Date You Can Start:
Are you capable of performing (in a reasonable manner) the essential duties of the job for which you are applying, with or without reasonable accommodation? Yes No
Describe how your past experience, education, and training have prepared you for this job:
Do you possess plumbing certification from: 1. City of Sacramento? Yes No 2. County of Sacramento? Yes No
Do you have reliable transportation? Yes No
Do you own your own hand tools? Yes No
Are you 18 years of age or older? Yes No If not, can you, after employment, submit a work permit? Yes No Can you, after employment, submit verification of your legal right to work in the U.S.? Yes No
Please list your past employers along with the dates of employment: