Streamside Services Tulsa
Streamside Services Tulsa Streamside Services Tulsa
Bill Russell Plumbing, Heat, and Air Company
Streamside Mechanical Services
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Employment Application

Thank you for your interest in Streamside Services. We are always recruiting professionals to join us in serving our customers better. Please fill out the employment application below, and we will review your information.

We provide the following benefits for our technicians:

  • Top pay
  • Paid vacation
  • Family health insurance
  • Company provided uniforms and cleaning services
  • Retirement pension
  • Annuity fund
  • Drug free and sober workplace
  • Fully stocked truck with company provided tools
Personal Information
Name (Last, First)
 Social Security No.
- -
Present Address
 City
 State
 Zip
Permanent Address
 City
 State
 Zip
Phone Number
- - 		Referred By
Are you 18 years of age or older? Yes No
Employment Desired
Position
Date You Can Start
 Salary Desired
Are you currently employed?
Yes No		 If so, may we inquire of your present employer?
Yes No
Have you applied to this company before?
Yes No		 If so, where and when?
Education History
Grammar School
Name and Location
Years Attended
 Did you graduate?
Yes No
Subjects Studied
High School
Name and Location
Years Attended
 Did you graduate?
Yes No
Subjects Studied
College
Name and Location
Years Attended
 Did you graduate?
Yes No
Subjects Studied
Trade, Business or Correspondence School
Name and Location
Years Attended
 Did you graduate?
Yes No
Subjects Studied
General Information
Subjects of Special Study or Research Work
Job Related Skills (typing, driver's license, etc.)
Activities other than Religious (Civic, Athletic, etc.)
U.S. Military or Naval Service
 Rank

Former Employers (Last four employers, starting with last one first)
Name and Address of Employer
Starting Date
 Ending Date
Ending Salary
 Position
Reason For Leaving
Name and Address of Employer
Starting Date
 Ending Date
Ending Salary
 Position
Reason For Leaving
Name and Address of Employer
Starting Date
 Ending Date
Ending Salary
 Position
Reason For Leaving
Name and Address of Employer
Starting Date
 Ending Date
Ending Salary
 Position
Reason For Leaving
References
Name
 Business
Address
 Years Known
Name
 Business
Address
 Years Known
Name
 Business
Address
 Years Known
Name
 Business
Address
 Years Known
Licences
Plumbing
 Mechanical
Other (Please List)
Authorization (Please read and then type your name below)

           “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.”

By typing your name and date below you are agreeing to this authorization.
Signature
 Date

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