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Contact Our Office in Middlebury, VT


24-Hour Emergency Services Available - Call 802-388-2296

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Plouffe's Boiler & Mechanical Service, Inc., 1786 Route 7 South, Middlebury, VT, 05753

Business Hours:
Mon - Fri
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Sat - Sun
Closed
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Cash Payment Accepted
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Technician Servicing Water Heater — Middlebury, VT — Plouffe's Boiler & Mechanical Service Inc
APPLICATION FOR EMPLOYMENT

Contact Us

Name

Employment Desired

Education History

COLLEGE

TRADE, BUSINESS, OR CORRESPONDENCE SCHOOL

General Information

Former Employers

(List below last four employers, starting with last on first)


Date (Month and Year)

Date (Month and Year)

Date (Month and Year)

Date (Month and Year)

References

(Give below the names of three persons not related to you, whom you have known at least one year)

Authorization


"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.


I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.


I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.


This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

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