×
COVID-19 Coronavirus
SCHEDULE SERVICE
Home
Trenchless Sewer Repair
Residential Plumbing
Septic Service
Water Heaters
Water Softener
Plumbing Repairs
Sewers and Drains
Whirlpools and Spas
EOne Sewer Systems
Battery-Powered Sump Pump
Water-Powered Sump Pumps
Pipe Inspection Service – Video
Commercial Plumbing
Utility Services
New Construction
Design Build Services
Backflow Maintenance
Tenant Build-Out Services
Maintenance and Prevention
Contact
Apply for Financing
Application for Employment
About Us
Our Team
Service Areas
Cincinnati Commercial Plumbing Pros
Licenses, Accreditations, Associations
FAQ
Tips and Resources
Cincinnati's Plumber
513-851-5588
COVID-19
COVID-19 Coronavirus
SCHEDULE SERVICE
Home
Trenchless Sewer Repair
Residential Plumbing
Septic Service
Water Heaters
Water Softener
Plumbing Repairs
Sewers and Drains
Whirlpools and Spas
EOne Sewer Systems
Battery-Powered Sump Pump
Water-Powered Sump Pumps
Pipe Inspection Service – Video
Commercial Plumbing
Utility Services
New Construction
Design Build Services
Backflow Maintenance
Tenant Build-Out Services
Maintenance and Prevention
Contact
Apply for Financing
Application for Employment
About Us
Our Team
Service Areas
Cincinnati Commercial Plumbing Pros
Licenses, Accreditations, Associations
FAQ
Tips and Resources
513-851-5588
Schedule Service
Online Employment Application Form
Step
1
of
8
– Personal Information
12%
PERSONAL INFORMATION
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Mobile Phone
*
Drivers License Number
Drivers License State of Issue
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Social Security Number
*
EMPLOYMENT DESIRED
Position(s) applying for
*
Date you can start
*
MM slash DD slash YYYY
Are you currently employed
*
Yes
No
Current Employer
May we contact your current employer?
*
Yes
No
Name of Supervisor
Current Pay
Compensation Desired
*
Available to work
*
Full-Time
Part-Time
EMPLOYMENT HISTORY
List below your recent employers, starting with your present one first. Be sure to account for all periods of time.
1) Most Recent/Current Job
1) Date Job Started
MM slash DD slash YYYY
1) Date Job Ended
MM slash DD slash YYYY
1) Employer/Business Name
Job 1) Wage Rate
1) Position
1) Reason for Leaving
2) Second Most Recent Job
2) Date Job Started
MM slash DD slash YYYY
2) Date Job Ended
MM slash DD slash YYYY
2) Employer/Business Name
2) Wage Rate
2) Position
2) Reason for Leaving
3) Third Most Recent Job
3) Date Job Started
MM slash DD slash YYYY
3) Date Job Ended
MM slash DD slash YYYY
3) Employer/Business Name
3) Wage Rate
3) Position
3) Reason for Leaving
4) Fourth Most Recent Job
4) Date Job Started
MM slash DD slash YYYY
4) Date Job Ended
MM slash DD slash YYYY
4) Employer/Business Name
4) Wage Rate
4) Position
4) Reason for Leaving
Have you ever been involuntarily terminated or asked to resign from any job?
Yes
No
If you have been terminated or resigned, please explain
Please explain any gaps in your employment history
Please list any other experience, job related skills, additional languages, or other qualificationsthat you believe should be considered in evaluating your qualifications for employment.
EDUCATION
Please describe your educational background in the fields provided below. Fill out as many sections applicable to your education. Degree of educational achievement is considered in the hiring process only to the extent that specific educational achievementis a requirement for performing the job.
High School
High School Name
High School Years Completed
9th
10th
11th
12th
High School Degree/Diploma
Yes
No
College or University – Describe Specialized Training, Experience, Skills, and Extra-Curricular Activities
College or University
College or University Name
College or University Years Completed
Zero
1 Year
2 Years
3 Years
4 Years
College or University – Degree or Diploma
Yes
No
College or University – Course of Study or Major
College or University – Describe Specialized Training, Experience, Skills, and Extra-Curricular Activities
Graduate or Professional
Graduate or Professional School Name
Graduate or Professional Years Completed
Zero
1 Year
2 Years
3 Years
4 Years
Graduate or Professional – Degree or Diploma
Yes
No
Graduate or Professional – Course of Study or Major
Graduate or Professional – Describe Specialized Training, Experience, Skills, and Extra-Curricular Activities
Trade, Vocational, or Online School
Trade, Vocational, or Online School Name
Trade, Vocational, or Online – Degree or Diploma
Yes
No
Trade, Vocational, or Online – Course of Study or Major
Trade, Vocational, or Online – Describe Specialized Training, Experience, Skills, and Extra-Curricular Activities
Certifications (Check all that Apply):
OSHA 10 hr
OSHA 30 hr
Ohio Plumbing License
Indiana Plumbing License
Kentucky Plumbing License
Welding License
Other(s)
Other License(s)
BUSINESS AND PROFESSIONAL REFERENCES
1) Name
1) Title
1) Business Relationship
1) Telephone Number or Email
2) Name
2) Title
2) Business Relationship
2) Telephone Number or Email
3) Name
3) Title
3) Business Relationship
3) Telephone Number or Email
CO-WORKER REFERENCES
1) Name
1) Title
1) Number of Years Acquainted
1) Relationship
1) Number of Years Acquainted
2) Name
2) Title
2) Relationship
2) Number of Years Acquainted
2) Telephone Number or Email
3) Name
3) Title
3) Relationship
3) Number of Years Acquainted
3) Telephone Number or Email
GENERAL INFORMATION
Do you have friends and/or relatives working for Nieman Plumbing?
*
Yes
No
Name(s) and Relationship(s) of relatives working at Nieman.
If hired, would you have a reliable means of transportation to and from work?
*
Yes
No
Are you at least 18 years old?
*
Yes
No
Note: If under 18, hire is subject to verification that you are of minimum legal age.
Are you legally entitled to hold employment of the kind for which you are applying in the United States?
*
Yes
No
Is any additional information relative to name changes, use of an assumed name, or nickname necessary to enable a check on your work and educational record?
*
Yes
No
Please explain name changes, assumed names, nicknames, etc…
Are you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodation?
*
Yes
No
Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions.
Have you ever been convicted of a felony or misdemeanor (other than minor traffic violations)?
Yes
No
A conviction will not necessarily be a bar to employment. Factors such as job relatedness, date, nature, and the number of offenses, age at the time of offense and rehabilitation will be considered.
What offense(s) were you convicted?
APPLICANT STATEMENT AND AGREEMENT
Please read and initial each paragraph below. If there is anything that you do not understand, please ask.
Consent to Investigate my references, work record, education, and matters related to employment
*
I hereby authorize Nieman Plumbing Inc. to thoroughly investigate my references
I hereby authorize Nieman Plumbing Inc. to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references have listed to disclose to Nieman Plumbing Inc. any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Nieman Plumbing Inc., my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
Rules and Regulations Compliant
*
I agree to comply with all Nieman Plunbing Inc., rules and regulations
In the event of my employment with Nieman Plumbing Inc., I understand that I am required to comply with all rules and
regulations of Nieman Plumbing Inc.
At-Will Employment
*
I agree my employment with Nieman Plumbing Inc. is an at-will employment
If hired, I understand and agree that my employment with Nieman Plumbing Inc. is at-will, and neither I nor Nieman Plumbing Inc. is required to continue the employment relationship for any specific term. I further understand that Nieman Plumbing Inc. or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.
Safety Compliance
*
I agree to follow all Nieman Plumbing Safety Procedures
I understand that the safety of employees is extremely important to Nieman Plumbing Inc. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.
True and Correct Answers
*
I agree, my answers are true and correct
I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
Identity
*
I agree to provide identity and I can legally work in the USA.
I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and those federal immigration laws require me to complete an I-9 Form in this regard.
MY SIGNATURE BELOW ATTESTS TO THE FACT THAT I HAVE READ, UNDERSTAND, AND AGREE TO ALL OF THE ABOVE TERMS AND THAT ALL INFORMATION I PROVIDED IN MY APPLICATION FOR EMPLOYMENT IS TRUE, ACCURATE AND COMPLETE.
Digital Signature
Enter your complete legal name to sign this document digitally.
Printed Name
First
Last
Signed Date
MM slash DD slash YYYY
CAPTCHA
2030 Stapleton Court Cincinnati, Ohio 45240
|
513-851-5588
© 2023 Nieman Plumbing |
Web Design by Pixaura
Admin