Job Application

Position(s) Applying for:

ServiceInstallation
TechnicianApprentice

Personal Information

First Name:

Last Name:

Address:

City:

State:

Zip:

Phone

Email Address:

How did you hear about our company?

Employment Information

Citizenship / Work Status
US CitizenGreen Card HolderUS Work VISA

Current Employer (if any)

Years of Work Experience directly related to the position you are applying for:

Employment Type Desired
FullPart-Time

Desired Compensation

HourlyAnnual

Other Compensation Desired

When are you available to start work?

Education

High School?
YesNo
Name of School?

College?
YesNo
Name of School?

Major & Degree

Other Schooling?
YesNo
Name of School?

Criminal History

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR (except any minor traffic violations)?
NoYes

If yes, please explain

Drivers License Information

Do you have a valid drivers license?
NoYes

Do you have reliable transportation to work (please be specific)?

Drivers License Number

State of Issue

Type
OperatorCommercialChauffeur

List any moving violations and or accidents over the last 3 years

Military Service

Have you ever been in the armed forces?
NoYes

Are you currently a member of the national guard or reserves?

Work Experience

Please list your work experience for the past 5 years beginning with your most recent job.

If you were self-employed, give firm name.

Name of Employer, Address, Phone

Name of Last Supervisor

Last Job Title

Employment Start

Employment End

Reason for Leaving

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact this employer?
NoYes

HVAC/R INDUSTRY SKILLS SECTION INSTRUCTIONS: ONLY select the specific industry skills that you consider yourself to be very knowledgeable about, with a high level of competency.

HVAC/R Industry Skills

What Size of HVAC/R equipment have you worked with?

What Manufacturers Equipment have you worked with?

What types of Equipment or Systems have you worked with?

What Job Functions have you performed?

What computer related experience do you have? (Select all that apply)
ACTApproachAutoCadDerbyEcco ProEchelonEnergy ProEstimation (software)GoldmineLoad/Trace 700Lon WorksLon-Based CicronManual JMicrostationMS AccessMS ExcelMS OfficeMS PowerPointMS WordQuickPenSalesLogixSeibeTrane Duct/Pipe DesignerWinSalesWrightsoft

What certifications and licenses do you currently have?

Include State and License Numbers for any licenses selected above, if applicable:

Other Licenses & Certifications held:

Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Professional References

Please list 2-4 people you have worked with who can attest to your On-the-Job experience and performance.

Reference 1

Name

Position

Company

Phone

Email

Reference 2

Name

Position

Company

Phone

Email

Reference 3

Name

Position

Company

Phone

Email

Reference 4

Name

Position

Company

Phone

Email

Did you complete this application yourself?
YesNo

If No, who did?

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