Employment at Pure Water Technology

With our technology, the future is green!
(888) 790-PURE (7873)

Employment

To be considered for employment, please complete the fields below.
Fields with a * are required.


First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
Zip Code: *	(5 digits)
State: *
Home Phone: *
Cell Phone:
Email:
Date of Birth:
Eligible for employment in US?	Yes No
Social Security #:	- -
Desired Employment: *	Full-time Part-time Contractor
Desired Start Date:
Position Applying For: *

Employment History	Please list your previous employers beginning with the most recent.
Employer 1: *
Supervisor Name & Title:
City & State: *
Telephone:
Your Title:
Dates Employed:	To
Duties: *
Reason for Leaving: *

Employer 2:
Supervisor Name & Title:
City & State:
Telephone:
Your Title:
Dates Employed:	To
Duties:
Reason for Leaving:

Employer 3:
Supervisor Name & Title:
City & State:
Telephone:
Your Title:
Dates Employed:	To
Duties:
Reason for Leaving:

Other skills related to employment at Pure Water Technology:
May we contact your previous employer(s)? *	Yes No

Education
High School:
City & State:
Diploma or GED?	Yes No

College:
City & State:
Major:
Units Completed:
GPA:
Type of Degree:

Technical/Vocational School:
City & State:
Major:
Type of Certification:

Legal Information

Have you ever been convicted of a felony? *	Yes No
If yes, please explain:
Are you willing to be tested for illegal drugs? *	Yes No
Do you have a valid drivers license? *	Yes No
Drivers License #:
State Issued:
Have you had any accidents or moving violations in the past 2 years? *	Yes No
If so, please list all:

Please press submit.

Pure Water Technology, Inc.
Contact@DitchTheBottle.com
888.790.7873 (PURE)