• Applicant Name

  • Address

  • State

  • Zip Code

  • Apt#

  • Date Available to Start

  • Social Security Number

  • Phone Number

  • Cell Phone

  • Email

  • Position Desired

  • How Did You Learn About Job Opportunities with Flat Rate Plumbing?

  • Availabilty
  • Are you interested in a full-time or part-time position?


  • Please check your availability.







  • Are you able to meet the attendance requirements?


  • Do you have any objection to working overtime if necessary?


  • Have you ever been convicted of a crime in the last 7 years?


  • If yes, please explain

  • Can you submit proof of legal employment authorization and identity?


  • If you are under 18, can you furnish a work permit if it is required?


  • Have you ever been previously employed by our organization?


  • Previous Employer
  • Dates of Employment

  • Position

  • Pay Rate

  • Business Name

  • Business Phone

  • Supervisors Name

  • Reason for Leaving

  • Other Skills and Qualifications

  • Education
  • High School

  • College/University

  • Technical Training

  • Reference
  • Reference #1

  • Phone Number 1

  • Reference #2

  • Phone Number 2

  • Reference #3

  • Phone Number 3