CUSTOMER SERVICE & SALES : ( 7 7 0 ) 4 3 4 - 8 6 0 0 e     ATECH Plumbing, Inc. 2012 Airport Court Marietta, Georgia 30060 (770) 434-8600 PHONE (770) 989-0275 FAX   APPLY FOR EMPLOYMENT with ATECH PLUMBING ATECH Plumbing is an equal opportunity employer. Any information you provide will be used solely for the purpose of evaluating your qualifications for employment and we don not share your personal information with any outside third parties. COMPLETE ENTIRE FORM & SUBMIT AT THE BOTTOM OF THE PAGE. * All fields are required please. SECTION I - Personal Information.   First, M, Last Name : E-Mail Address : Street Address : City, State, Zip : GA AK AL AR AZ CA CO CT DC DE FL HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Phone Number : How did you learn about us? Advertising Friend Walk-In Employment Agency Relative Internet Search Other Type of Employment : Full-Time Part-Time Temporary Have you ever been employed by our company? Y N If yes, when?     If you are under 18, can you provide proof of your eligibility to work? Y N   Do you have a valid GA Drivers License? Y N     If yes, enter your Drivers License Number:   Are you currently employed? Y N     If not, how long since your last employment?   May we contact your present employer? Y N   Are you prevented from lawfully becoming employed in this country because of Visa? Proof of citizenship will be required upon employment. Y N   On what date will you be available for work? What are you able to work? Full-Time    Shifts    Part-Time    Temp    Are you currently on 'Layoff Status' and subject to recall? Y N   Can you travel if the job requires it? Y N   Have you ever been bonded? Y N Name of Bonding Co.:     Have you been convicted of a criminal offence for which a pardon has not been given? Conviction will not necessarily disqualify an applicant from employment. Y N   If yes, please explain: Are you capable of performing in a reasonable manner, with or without a reasonable accommodation? The activities involved in the job or occupation for which you have applied? Y N   SECTION II - Educational Information.     Name    /    Course    /    Years    /    Degree Elementary : High School :                    College : Graduate School : Other : LANGUAGES : FLUENT GOOD FAIR Speak Read Write Do you have a valid Georgia Plumbing License? Y N     If yes, what license do you hold:   SELECT ONE Master - Unrestricted Master - Restricted Journeymans SECTION III - Employment Information. Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, religion, gender, national origin, disabilities, or other protected status. If you need additional space to provide supplemental information, please write it on last page of this application. If this application is completed on-line, simply type the information on the last page of this application.   PAST EMPLOYERS.   EMPLOYER # 1 : Complete Address : Phone Number : Job Title : Supervisor : Dates Employed : to Starting & Finishing Hourly Rate/Salary : , Reason for leaving: Work Performed : EMPLOYER # 2 : Complete Address : Phone Number : Job Title : Supervisor : Dates Employed : to Starting & Finishing Hourly Rate/Salary : , Reason for leaving: Work Performed : EMPLOYER # 3 : Complete Address : Phone Number : Job Title : Supervisor : Dates Employed : to Starting & Finishing Hourly Rate/Salary : , Reason for leaving: Work Performed : SECTION IV - References & Additional Info.   REFERENCES.   Name # 1 : Complete Address : Phone Number : Name # 2 : Complete Address : Phone Number : Additional Information or Comments. Add any additional information here, that you believe will be helpful. You may be asked to provide hard copies of additional information, such as your resume or Employee Data Cards.   SECTION V - Submit. The applicant must read and agree with the following text. After reading, check the box at the bottom and press the submit button. I certify that I have read and understand all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test, if reasonable grounds exist. I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason. I understand that misrepresentation or omission of information or facts may result in my rejection or dismissal. If hired, I agree to abide by all the rules and policies of the employer. This certifies that this application was completed by me, and that all entries on it and information it are true and complete to the best of my knowledge. I have read and agree to the above terms. *   Call ATECH Plumbing for Atlanta Metro Help Today EMERGENCY 24 Hr. PLUMBING HELP HOTLINE ! ! !   Serving These Areas Around Atlanta! Atlanta Alpharetta Austell Buckhead Canton Cherokee County Cobb County Dallas Dekalb County Douglas County Douglasville Dunwoody Fulton County Gwinnett County Hiram Kennesaw Lithia Springs Mableton Marietta Paulding County Sandy Springs Smyrna Vinings Woodstock   We Beat Most Written Estimates! Get a price from any other plumbing repair or installation company and ATECH will beat their estimate 99% of the time. Give us a try!

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