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L&R Mechanical Services, LLC is AA/EOE Employer

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Date / Time *

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Position Applying For *Plumbing ApprenticeHVAC ApprenticePlumbing JourneymanHVAC JourneymanPlumbing ForemanHVAC ForemanPlumbing Project ManagerHVAC Project ManagerMechanical EstimatorAccounting DepartmentProject AdministratorShop Hand

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Have you ever worked for this company? *

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If Yes, when? *

Dates

Have you ever been convicted of a felony? *

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Did you Graduate High School or Get Your GED? *

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Do you need a second employment spot? *

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May we contact your previous supervisor for a reference *

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Did you Serve in the Military *

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Reason for leaving *

Military Service *

Branch (NA if this does not apply)

Dates of Service *

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Rank at Discharge *

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Type of Discharge *

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If other than honorable, explain *

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Disclaimer and Signature: I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. *

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Do you have a OSHA CARD? *

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OSHA Card Upload

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Do you have a Journeyman Licence(s) *

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Journeyman License(s)

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