Pre-Employment Questionnaire (An Equal Opportunity Employer) Name Email Address Phone Number Current Address Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? Yes No Have you ever been convicted of a felony? Have you ever been convicted of a felony? Yes No If yes, please explain. What position are you interested in filling? What position are you interested in filling? Plumber HVAC Technician Helper/Apprentice Office Desired salary When can you start? What is your availability? Are you currently employed? Are you currently employed? Yes No Who is your current employer? Can we contact your current employer? Can we contact your current employer? Yes No List any previous work history with dates and company names Do you have a valid driver's license? Do you have a valid driver's license? Yes No Are you licensed in your trade? I.E. Plumbing, HVAC Are you licensed in your trade? I.E. Plumbing, HVAC Yes No 12 + 13 = Submit