Careers │ Pro-Tec Plumbing & Air

Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Are you a U.S. Citizen?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
Do you have a signed Non-Compete Agreement with your current or past employer?*
- Yes
- No
How did you hear about us?
Upload Resume
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Employment History
Employer 1
Company Name*
Job Title*
Dates Employed*
Work Phone*
Starting Pay Rate*
Ending Pay Rate*
Address*
Street Address City State ZIP Code
Employer 2
Company Name
Job Title
Dates Employed
Work Phone
Starting Pay Rate
Ending Pay Rate
Address
Street Address City State ZIP Code
Employer 3
Company Name
Job Title
Dates Employed
Work Phone
Starting Pay Rate
Ending Pay Rate
Address
Street Address City State ZIP Code
Employer 4
Company Name
Job Title
Dates Employed
Work Phone
Starting Pay Rate
Ending Pay Rate
Address
Street Address City State ZIP Code

The position for which I am being considered requires me to consent to a criminal background check as a condition of employment. This check includes the following: Criminal history reference searches for felony and misdemeanor convictions at the county and federal levels of every jurisdiction where I currently reside or where I have resided during the past 7 years; and sex offender registry searches at the county and federal levels in every jurisdiction where I currently reside or where I have resided.

I hereby authorize Pro-Tec Plumbing, Inc. to conduct the criminal background check described above. In connection with this, I also authorize the use of law enforcement agencies and/or private background check organizations to assist Pro-Tec Plumbing, Inc. in collecting this information.

I also am aware that records of arrests on pending charges and/or convictions are not an absolute bar to employment. Such information will be used to determine whether the results of the background check reasonably bear on my trustworthiness or my ability to perform the duties of my position in a manner which is safe.
Full Legal Name*
First Middle Last
Other Names You Have Used in Past Seven Years*
First Middle Last
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Previous Address (most recent)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Addresses in the 7 years prior to completing this authorization*
Phone Number*
Date of Birth*
MM slash DD slash YYYY
Gender*
- Female
- Male
Social Security Number*
Driver's License #*
State of Driver's License*
Have you ever been convicted of a criminal *offense or have any pending criminal* charges against you? *This refers only to felonies and misdemeanors; you do not need to include non-criminal traffic violations or municipal ordinance violations.*
- Yes (provide detail on section below)
- No
Background Check Signature Disclaimer

To the best of my knowledge, the information provided in this Notice and Authorization and any attachments thereto is true and complete. I understand that any falsification or omission of information may disqualify me for this position and/or may serve as grounds for the severance of my employment with Pro-Tec Plumbing, Inc. By signing below, I hereby provide my authorization to Pro-Tec Plumbing, Inc. to conduct a criminal background check and I acknowledge that I have been provided with a summary of my rights under the Fair Credit Reporting Act which is attached. In addition to those rights, I understand that I have a right to appeal an adverse employment decision made by Pro-Tec Plumbing, Inc. based on my background check information within three business days of receipt of such notice and that a determination on my appeal will be made in seven working days from Pro-Tec Plumbing, Inc.'s receipt of such appeal.
Name*
Date*
Signature*

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