Canyon Plumbing - About Us

Canyon Plumbing - Employment Application

Employment Application First Name Middle Last Name

Address

City Province Postal Code

Phone Number (Home) Phone Number (Other) Email Address

Personal Information Date of Birth Personal Status

Next of Kin Relationship Phone Number

Any medical problems(last 3 years)? If yes, please specify:

Have you ever been on workers compensation:

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Driving Information Do you own a vehicle? Type: Driver's License Number:

In the past three years have you had any Speeding Tickets Accidents Impaired's Please Specify

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Education Grade School Completed: Grade Where:

Are you an Apprentice now? What Year:

Where was your apprenticeship schooling taken SAIT NAIT Other Please Specify

Do you have future SAIT terms confirmed Yes No Dates

Apprentice/Journeyman License #:

Any other specialized training or course:

What type of work do you prefer:

What is your plan or goal for the next 5 years?

Who refered you to our company?

List two personal references Name Phone Number

Name Phone Number

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Experience

	Company One		Company Two		Company Three
Company Name
City And Province
Type of Work (Res/Comm.)
Date Start to Date Finished
Reason for leaving
Rate of Pay when Leaving
May We Contact your employer?
Contact Person
Phone Number
	Years	Months	Years	Months	Years	Months
Trenches
Rough - In's
Gas Lines
Waterlines
Finishing
Service
Slab Heat
Boilers
Septics
Wells
Renovations

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Attachments Upload Resume: (MS Word, RTF, Text or PDF formats)

Upload Cover Letter: (MS Word, RTF, Text or PDF formats)

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PLEASE READ CAREFULLY BEFORE SUBMITTING

Thank you for your interest in employment with Canyon Plumbing & Heating Ltd. Canyon Plumbing considers the qualifications, education, knowledge and experience of all applicants and selects the most qualified candidate for each position.

By submitting this form, I certify that any information given during the course of applying for a position at Canyon Plumbing is true and complete. I authorize Canyon Plumbing to thoroughly investigate my entire employment history and other references and to verify all data given in my application for employment, related papers or oral interviews. I release Canyon Plumbing, all affiliated entities and all informants of all liability whatsoever resulting from such investigations.

I understand that an offer of employment may require clearance of drug and alcohol screening, a medical examination, a criminal background check, and a valid driver's abstract.

I also understand that any falsification, material misrepresentation, deliberate omission or misrepresentation of facts upon this application will be considered just cause for dismissal at the discretion of the company should I become an employee of Canyon Plumbing.

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