First Name

Last Name

Phone No

Email Address

Full Address ( please include State & zip code )

Your Date of Birth

CONFIRM YOUR ELIGABILITY Do you hold a valid passport with minimum 18 months before expiry? YesNo

Do you hold a valid driver’s license? Do you hold a valid driver’s license? *YesNo

Are you between the ages of 18 and 30? Are you between the ages of 18 and 30? *YesNo

Do you hold a valid plumbing license in the U.S.? Do you hold a valid plumbing license in the U.S.? *YesNo

Do you meet general health/fitness requirements for physical labour? Do you meet general health/fitness requirements for physical labour? *YesNo

Can you drive a manual vehicle? (Not compulsory but preferred) Can you drive a manual vehicle? (Not compulsory but preferred) *YesNo

Is English your primary Language? Is English your primary Language? *YesNo

Have you got a criminal record? Have you got a criminal record? *YesNo

EXTRA INFORMATION Are you currently employed?YesNo

How many Years of plumbing experience? How many Years of plumbing experience? *1-22-55-1010 plus

Type of plumbing experience

Current employer details (if applicable)

Please provide 2-character references (include names, email, phone & relationship to you)

Do you have any other qualifications? Do you have any other qualifications? *Diploma / Adv DiplomaBachelorPost GradMasters / DoctorateNoOther

Are you willing to assist with landscaping, labouring, concreting, steam boiler servicing and other trades throughout your contract? Are you willing to assist with landscaping, labouring, concreting, steam boiler servicing and other trades throughout your contract? *YesNo

I understand flights will not be booked until Visa approval is received and 50% of invoice is paid? I understand flights will not be booked until Visa approval is received and 50% of invoice is paid? *YesNo

I understand my $1000 deposit is non-refundable I understand my $1000 deposit is non-refundable *YesNo

Attach your documents Copy of U.S Plumbing license, Driver's license, resume & work historyFile InputChoose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, gif, png, pdf. Max. file size: 5 MB

Do you have any medical conditions we need to know about? Do you have any medical conditions we need to know about? *YesNo

Why do you want to be apart of the Plumbrite International Trades Abroad Program?