Position(s) Applying for:
ServiceInstallation TechnicianApprentice
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone
Email Address:
How did you hear about our company?
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?
High School? YesNo Name of School?
College? YesNo Name of School? Major & Degree
Other Schooling? YesNo Name of School?
HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR (except any minor traffic violations)? NoYes
If yes, please explain
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
Have you ever been in the armed forces? NoYes
Are you currently a member of the national guard or reserves?
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.
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.
Please list 2-4 people you have worked with who can attest to your On-the-Job experience and performance.
Name Position Company Phone Email
Did you complete this application yourself? YesNo
If No, who did?
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