Apply to Work With Our Monroe, LA Plumbing Company

Free Text

Kelly Plumbing, Inc. Employment Application

Fields marked with an * are required

Today's Date

Free Text

Personal Information

Last Name *

First Name *

M.I.

Birth Date

Street Address *

Apartment / Unit #

City *

State *

Zip *

Phone *

Date Available

Desired Salary

Position Applied For

Are you a citizen of the United States?

If no, are you authorized to work in the U.S.?

Have you ever been convicted of a felony?

If yes, explain.

Free Text

EDUCATION

High School education

High School

Address

Year Started

Year Ended

Did you graduate?

Free Text

College Education

College

Address

Year Started

Year Ended

Did you graduate?

Degree

Free Text

REFERENCES (Please list 3 professional references)

Reference 1

Full Name

Relationship

Company

Phone

Free Text

Reference 2

Full Name

Relationship

Company

Phone

Reference 3

Reference 3

Full Name

Relationship

Company

Phone

Free Text

PREVIOUS EMPLOYMENT

Employer 1

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Year Started

Year Ended

Reason for Leaving

May we contact your previous supervisor for a reference?

Free Text

Employer 2

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Year Started

Year Ended

Reason for Leaving

May we contact your previous supervisor for a reference?

Free Text

Employer 3

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Year Started

Year Ended

Reason for Leaving

May we contact your previous supervisor for a reference?

Licensed Master Plumber: 3238

CONTACT INFORMATION

Phone: (318) 322-5116

Email: bkelly@kplumbing.com

Address: 809 N. 8th Street

Monroe, LA 71201

Business Hours:

Monday: 8 a.m. – 4:30 p.m.

Tuesday: 8 a.m. – 4:30 p.m.

Wednesday: 8 a.m. – 4:30 p.m.

Thursday: 8 a.m. – 4:30 p.m.

Friday: 8 a.m. – 4:30 p.m.