H. Jack Langer, Inc. - H. Jack's Plumbing & Heating Co.  -  On-line Employment Application

 

Please select the location(s) that you wish to apply to:
Erie, PA       Jamestown, New York Ohio

EMPLOYEE INFORMATION

  
   

First Name

Last Name

Street Address

  

City

State

Zip

  

Phone

      Cell    Email  

Have you ever applied for employment with us?

Yes      No

Position Desired

  

Pay Expected

  

Apart from absence for religious observance, are you available for full-time work?

Yes     No

If not, what hours can you work?

Will you work overtime if asked?

Yes    No

Are you legally eligible for employment in the United States?

Yes    No

Other special training or skills (languages, machine operation, etc...)
EDUCATION  
   
School Type School Name Major(s) Years Completed Degree/Diploma
College     Y N
Business/Trade/Technical     Y N
High School     Y N

Membership in Professional or Civic Organizations
(Exclude those which may disclose your race, color, religion or national origin)

 
MILITARY  

Did you serve in the U.S. Armed Forces?

Yes    No

 If yes, what branch?

State Job Title and Describe Your Work

EMPLOYMENT HISTORY

  

Please give accurate, complete full-time and part-time employment record.  Start with your present or most recent employer.
 

Employer 1

  

Employer Name

Street Address

City

State

Zip

  

Employer Phone

  

  Employer Email

Employed - (month and year - ex: 07/2007 or present)

From    To  

Name of Supervisor

Weekly Pay:

Start   Last

Job Title and Describe Your Work
Reason for Leaving  
Employer 2  

Company Name

Street Address

City

State

Zip

  

Employer Phone

  

  Employer Email

Employed - (month and year - ex: 07/2007 or present)

From    To  

Name of Supervisor

Weekly Pay:

Start   Last

Job Title and Describe Your Work
Reason for Leaving  
Employer 3  

Company Name

Street Address

  

City

State

Zip

  

Employer Phone

  

  Employer Email

Employed - (month and year - ex: 07/2007 or present)

From    To  

Name of Supervisor

Weekly Pay:

Start   Last

Job Title and Describe Your Work
Reason for Leaving  
EXPERIENCE / WORK HISTORY  

Instructions: Answer all skill questions below and rate yourself.  If you wish to provide any additional comments please do so in the space provided at the bottom of this form.

 

Skill

Yes

No

Good

Excellent

Need Experience

Install vinyl floors?

Install ceramic tile?

Hang drywall?

Finish drywall?

Framing?

Frame up doorways?

Frame in windows?

Build decks?

Electrical?

Painting?

Drop ceilings?

Install Kitchen Cabinets?

Install tubs?

Install vanities?

Plumbing?

Air conditioning?

Drain cleaning?

Heating?

Will do physical labor?      

Have your own tools?

 

 

 
 
Additional Experience / Comments