Plumbing 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

PERSONAL INFORMATION

First Name
Last Name
Email
Phone Number
Alternate Phone Number
City
State
Zip
Address
Previous Address if less than 5 years at the current address (City, State)

EDUCATION/TRAINING

High School

High School Name
City/State
Graduated
Yes No
GED
Yes No
Course of study

College

College Name
City/State
Years complete
Course of study

Graduate School

College Name
City/State
Years complete
Course of study
Are you planning to pursue further studies?
Yes No
If yes, when, where and what courses?
List any scholastic honors, offices held and activities involved in during school:
List and describe additional specialized training:
Professional License
Certification

DRIVING INFORMATION

Will you be able to report to work on time and on a consistent basis?
Yes No
If no, explain
Do you have a valid driver's license in Florida?
Yes No
If no, explain: 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)
Yes No
Driver's license State
Driver's license Type
Have you ever had any license or certification suspended or revoked?
Yes No
If yes, state the specific reason(s) for the suspension(s) and/or revocation(s) and the date(s): explain:

EMPLOYMENT

(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

Employer
Job position
Address
Telephone #
Supervisor's Name

Starting Salary
Ending Salary
Starting Date
Ending Date

Duties
What did you like most about your job?
What did you like least about your job?
Reason for leaving
Eligible for Re-hire?
Yes No

Employer #2

Employer
Job position
Address
Telephone #
Supervisor's Name

Starting Salary
Ending Salary
Starting Date
Ending Date

Duties
What did you like most about your job?
What did you like least about your job?
Reason for leaving
Eligible for Re-hire?
Yes No

Employer #3

Employer
Job position
Address
Telephone #
Supervisor's Name

Starting Salary
Ending Salary
Starting Date
Ending Date

Duties
What did you like most about your job?
What did you like least about your job?
Reason for leaving
Eligible for Re-hire?
Yes No

SUPPLEMENTAL EMPLOYMENT INFORMATION

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

Name
at (company)
Name
at (company)

Are you presently employed?
Yes No
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?
Yes No
If yes, explain

SPECIAL SKILLS

Select the programs that you are skilled in
Word Excel Access Outlook

Other programs that you are skilled in?
List any skills and abilities you have that relate to the position for which you are applying:

PROFESSIONAL / INDUSTRY REFERENCES

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

#1

Name
City
Phone
Occupation

#2

Name
City
Phone
Occupation

#3

Name
City
Phone
Occupation

PLUMBING SKILLS

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.
I HAVE READ, UNDERSTAND, AND BY MY SIGNATURE CONSENT TO THESE STATEMENTS.

Date *
Digital Signature *

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.

Or Upload Your Resume
Paste Resume Here:

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

Structured Particle *

Here's What Our Clients Say

Cost of repair was very reasonable. I would trust them again.

- Lawrence F – Google – Yelp

Modern Plumbing Industries, Inc.

Phone Number

Main Line: 407.327.6000 (7am - 5pm)
Toll Free: 866.707.5862

Location

255 Old Sanford Oviedo Road
Winter Springs, FL 32708

Hours of Operation

Monday-Friday, 7am-5pm.
Always available for 24/7 Emergency Service.

Contract Licenses

#CFC1429412

Financing

We accept credit cards, cash, and checks

Visa
MasterCard
Cash
Discover
American Express
Checks

Financing Available

Plumbing Application and Assessment

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION/TRAINING

High School

College

Graduate School

DRIVING INFORMATION

EMPLOYMENT

Employer #1

Employer #2

Employer #3

SUPPLEMENTAL EMPLOYMENT INFORMATION

SPECIAL SKILLS

PROFESSIONAL / INDUSTRY REFERENCES

#1

#2

#3

PLUMBING SKILLS

Tools

Equipment

Systems

Fixtures and Trim

Drain and Clean Outs

Carriers

Valves and Pumps

Plumbing Equipment

Documentation

Applicant's Statement

Here's What Our Clients Say