Job Application

Please fill out the following application. If you would like to submit more information or send an resume, please email Jacob Hancock after filling this application. jacob@americanpumpco.com.

First Name (required)
Last Name (required)
Phone Number (required)
Alternative Phone #
Current Address (required)
Your Email
What job are you applying for? (required)
Are you authorized to work in the U.S.?  yes no
Are you over 18?  yes no
What class of drivers license do you have?
Are you restricted from driving vehicles with air brakes?  yes no
List any other driving restrictions.
List any Electrical, Plumbing, or Drilling licenses you have.
Who is your current or most recent employer?
May we contact your current employer?  yes no
Can you perform the essential duties of this job with or without reasonable accommodations?  yes no
Are you able to lift items weighing up to 60 pounds?  yes no
Can you stand all day?  yes no
Are you able to start work at 7 a.m. on work days?  yes no
In the past, have you been disciplined for violating company policies forbidding the use of alcohol or tobacco products?  yes no
Do you use illegal drugs?  yes no
Have you ever been convicted of a felony?  yes no
Attach your Resume:

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