PERSONAL

If hired, you will need two identity  documents to complete the I-9 form. For example: US Passport, driver's license, state ID card, US social security card, certificate of birth abroad, original or certified copy of a birth certificate, voter's registration card, US Military card or military dependent card.

EDUCATION

Please include name, number of years completed, graduated (y/n), and major.

EMPLOYMENT HISTORY (most recent employment first)

Please include Employer's Name, Supervisor, Position(s) Held, and Reason for Leaving

US MILITARY SERVICE

IN CASE OF EMERGENCY, NOTIFY:

OTHER EXPIERENCE OR QUALIFICATIONS:

Please read thoughtfully

I certify that all facts contained in the application are true and complete and acknowledge that Montgomery Plumbing Supply Co (MPSC) is relying on the accuracy of the information provided. I authorize MPSC to verify the accuracy of the information provided herein, and I authorize former employers, educational institutions and credit agencies to release information concerning me to MPSC. I also authorize  MPSC to give references and provide information about me in response to inquires subsequent to my employment if hired. I understand that falsification, misrepresentation or omission of requested facts may result in denial of employment, or if employed may result in immediate dismissal. I understand and agree that, if hired, my employment will be for no definite period and may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without reason, at the will of either myself or MPSC. I also understand and agree that no one has authority to promise me job security or continued employment, except the CEO of the company in a formal written agreement signed by both of us. I  acknowledge that my employment is AT WILL and may be terminated AT WILL.