C&C Plumbing & Septic, Inc. family owned and operated since 1969

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Name:

Email:

Phone:

Your Address:

Todays Date:

Are you 18 years of age or older?

Are you a U.S. Citizen approved to work in the United States?

Are you available to work overtime if needed?

Have you ever been convicted of a felony or misdemeanor?

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case. If no, type "N/A"

Employment Desired:

Date you can start:

Salary Desired:

Are you currently employed?

If yes, type name of company and company phone number, if no type "N/A":

Do you have a valid drivers licence

Do you have a CDL?

Do you have a plumbing License?

Are you Backflow Certified?

Can you lift 50 pounds?

List Relevant Experience including company name, phone number, dates employed, reason for leaving:

Highest level of education?

Relevant Education and Year Graduated:

Reference 1 (Name & Phone)

Other Reference (Name & Phone):

By checking “Agree”, you agree to allow C&C Plumbing & Septic, Inc. to contact your past employers listed above.

By checking “Agree”, you agree to allow C&C Plumbing & Septic, Inc. to contact your references listed above.

This is a drug free employment. By checking “Agree”, you agree to allow C&C Plumbing & Septic, Inc. to conduct drug testing as required by our insurance company.

By checking “Agree”, you agree to C&C Plumbing & Septic, Inc. giving their insurance company permission to investigate your driving record and to do the necessary drug testing for employment.

By checking “Agree”, you agree to supply more information to C&C Plumbing & Septic, Inc. upon request to complete this application further if necessary.

By checking “Agree”, you understand that this application is NOT a job offer.

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CONTACT INFORMATION

C & C Plumbing & Septic

Phone: 301-373-2233

Address: 25765 Three Notch Rd Hollywood, MD 20636

OUR LOCATION

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CONTACT INFORMATION

C & C Plumbing & Septic

Phone: 301-373-2233

Address: 25765 Three Notch Rd Hollywood, MD 20636

Hours: Monday-Friday 7am-11:30am & 12:15pm-4pm