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