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Office Application and Assessment

The receipt of this application does not imply the candidate will be employed. Each question should be answered in a complete and accurate manner. All questions must be answered, do not state "see resume" as an answer. Applications remain active for thirty (30) days.

Please email, mail or fax your resume, with a letter of interest noting your salary requirements and the position you are interested in to:

Modern Plumbing Industries, Inc.
255 Old Sanford Oviedo Road
Winter Springs, FL 32708
Attn: Employee Relations


  • If hired, are you legally eligible to work in the United States?

  • If necessary, can you provide proof that you are over the minimum work age requirement?

  • Have you ever been terminated or asked to resign from any job? If yes, give details.

  • Have you ever been convicted of, received sentence for, pled nolo contendere (no contest) to, been placed on probation, or fined by any judicial or quasi-judicial body for a crime other than a minor traffic violation? (Arrest records and juvenile, se

  • Have you ever been a defendant in a civil action for an intentional tort (such as assault, battery, false imprisonment, invasion of privacy, infliction of emotional distress, wrongful death?) If yes, please give date and an explanation including loca

  • *Conviction record will not necessarily prohibit employment.


  • Are there any days or hours you would be unable or unwilling to work?

  • Will you be able to work overtime?

  • Will you be able to travel within Florida?

  • Have you applied with our company before?

  • Have you been employed by Modern Plumbing Industries?

  • Are you currently subject to a Non-Compete Agreement or Restrictive Covenant that would prohibit you from working at our company in the position for which you are applying?


High School

  • Graduated

  • GED


Graduate School

  • Are you planning to pursue further studies?


  • Will you be able to report to work on time and on a consistent basis?

  • Do you have a valid driver's license in Florida?

  • valid driver's license
  • Do you hold a valid and unexpired Drivers License that is not currently suspended or revoked? (Include professional and/or motor vehicle)

  • Have you ever had any license or certification suspended or revoked?


(Start with current or most recent employer.) You must complete this section even when providing your resume. You must also show your full work history, including any gaps in employment.

Employer #1

  • Eligible for Re-hire?

Employer #2

  • Eligible for Re-hire?

Employer #3

  • Eligible for Re-hire?


If you worked under any other name, please list that name(s) here: (for background verification)

  • Are you presently employed?

  • Have you ever been disciplined, demoted, suspended, placed on probation, or terminated from any job for an act of violence, harassment, discrimination, ethical breach, or theft?


  • Select the programs that you are skilled in


List three professional references. Do not use relatives, friends or personal references.






  • Copying/Printing/Fax Scan

  • Wide Format Plotters/Scanner

  • Internet Research

  • Online Banking/Transactions

  • Credit Card Payment Processing

  • Notary Public

  • Mail Machines

Data Entry

  • Typing

  • 10-Key Calculator


  • Word

  • Excel

  • Publisher

  • Windows

  • PowerPoint

  • Visio

  • Project

  • ComputerEase

  • Adobe Acrobat

  • Adobe Designer


  • Digitizer

  • Onscreen Takeoff

  • Auto CAD

  • Quickpen Pipe Designer

  • Navis/Works Manager

  • Small Tool Tracking

  • Estimating Pricing Service

  • Estimating Pricing Service Name

  • Digitizer Onscreen Takeoff

  • Wordpress

  • FTP Sites

Applicant's Statement

I understand that if my application is accepted for consideration of employment, I authorize an investigation of all statements and information. In connection with my application for employment, I understand that results of the investigation background inquiries and personal information may be released to Modern Plumbing Industries as part of contract obligations. I also release any and all persons, companies, or agencies responding to such investigation from any liability for any damage due to releasing information.
The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application (even if discovered after employment) or any other employment form may lead to dismissal or denial of employment.
In consideration of my employment, I agree to comply with the rules and regulations of Modern Plumbing Industries and my employment can be terminated for any reason and without notice, at any time, at the option of either the company or myself. I further understand that no oral promise, policy, business practice or other procedure, including any handbooks or manuals, constitutes an employment contract or modification of the at-will employment relationship between myself and Modern Plumbing Industries.
I understand that no supervisor or other official of Modern Plumbing Industries (except its President) has the authority to enter into an agreement with me or to make any agreement contrary to foregoing.
Applications (via internet, email, fax, mail, or submitted in person) will remain active for thirty (30) days. Any applicant requesting employment consideration beyond thirty (30) days must reapply.
I understand MPI reserves the right to request pre-employment, post accident, random or reasonable suspicion drug screening.

By typing your name in the signature box above, you are signing this document and stating that you read and understand the Applicant's Statement.

(File Requirements: .pdf, .doc, or .docx smaller than 5MB )

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