Referral Follow Up Form Participating Employer Participating Employer3T Plunbing IncA Pederson's PlumbingA-1 PlumbingAdvantage Plumbing IncAlpine Plumbing and Mechanical LLCB.C. Plumbing, Inc.Bathtub Solutions IncBeaver Plumbing & Heating IncBerry Plumbing, IncBethell Plumbing LLCBig River Plumbing LLCBlazer Industries IncBrass PlumbingBuckmaster Pro Plumbing & HeatingBudget Rooter of OregonButton PlumbingCaliber Plumbing & Mechanical IncCamps Plumbing LLCCherry City Plumbing IncComplete PlumbingCorbett Mechanical IncDoneRite Plumbing LLCDSL BuildersEvenflo PlumbingEvergreen Plumbing & Mechanical LLCGagles HeatingGarcia Plumbing LLCGemini CorpGo Plumbing & Heating LLCGuardian PlumbingHammerquist IncHarwood Plumbing LLCHR Mechanical Services LLCHydro Temp Mechanical IncII-S Mechanical IncInnovative Plumbing and MechanicalJack Wallace PlumbingJC Plumbing LLCJet Industries IncJims PlumbingJudsons, IncKCM Construction & Plumbing Inc.Lamberts Plumbing SolutionsLebanon Servco IncLeftco IncLifeworks PlumbingLincoln Plumbing IncLinn-Benton Plumbing LLCLovett, Inc.Lundell PlumbingMajors Plumbing IncMckillips Plumbing LLCMidway Plumbing IncModern Building SystemsMr. RooterNeu Flo PlumbingNewport PlumbingNofco Plumbing LLCNoordam Plumbing IncOregon Cascade Plumbing & HeatingOut West Plumbing IncPebbles Plumbing and MechanicalPipewerksPKG Construction LLCPittman Plumbing & HeatingProline PlumbingPure PlumbingQuality West Plumbing LLC (Cascade Plumbing)R & R General Contractors IncRau Plumbing IncRG Smith Electrical Contracting IncRGA Services IncRidgeline PlumbingRod's Plumbing, LLCRon Knight PlumbingRoth Heating & CoolingRoto-Rooter Service & PlumbingSlayden Constructors IncSpaniols IncStutzman Services IncSuperior Plumbing of Oregon IncThomas Forbes Plumbing CoThrasher Plumbing LLCTip Top Plumbing, Inc.Town & Country Plumbing IncorporatedTwo Dogs Plumbing & DrainVicon Mechanical Contractor & PlumbingWolfers, Inc. Apprentice / Applicant Interviewed: First Name Apprentice / Applicant Interviewed: Last Name Record of Activity Record of Activity I have interviewed this individual I have declined to interview this individual for the following reasons: Please Enter Your Reason for Not Interviewing This Indavidual Record of Determination - (Applicants are not to be Interviewed) Record of Determination - (Applicants are not to be Interviewed) I intend to hire the above named individual I do not intend to hire the above named apprentice/applicant for the following reason(s): Select All That Apply Select All That Apply Not Applicable Insufficient work experience (out-of-work apprentices only) Found other employment Did not want to work for our company Other, please explain Please Enter Your Reason for Not Hiring This Individual Acceptance of Conditions Acceptance of Conditions I understand Exit Surveys are to be submitted within 3 days of termination of employment. Companies remain financially responsible for all monthly billings up to and including the months between termination of employments and receipt of an exit survey by Area II Plumbers JATC. (the Exit Survey will replace the Release Form) Additional Comments / Instructions Company Rep: First Name Company Rep: Last Name Company Rep: e-Mail Date of Interview 2 + 3 = Submit