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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