Employment Application

APPLICANT INFORMATION

Position Interested(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

CONDITIONS AND AVAILABILITY

If you are under 18 years of age, can you provide required proof of your eligibility to work?(Required)

Yes

Have you ever filed an application with us before?(Required)

Yes

Have you ever been employed with us before?(Required)

Yes

Position and Dates

Do any of your friends or relatives, other than a spouse, work here?(Required)

Yes

Name and Relationship

Are you currently employed?(Required)

Yes

May we contact your present employer?(Required)

Yes

Date Available for Work

MM slash DD slash YYYY

Are you available to work full time?

Yes

Part Time

Mornings

Afternoons

Evenings

Temporary

Dates Available

Are you currently on lay-off status and subject to recall?(Required)

Yes

Can you travel if a job requires it?(Required)

Yes

Have you ever been convicted of a felony?(Required)

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Proof of citizenship or immigration status will be required upon employment.)(Required)

Yes

EDUCATION

High School Name/Location/Grades Completed

Undergraduate College Name/Location/Course of Study/Years Completed/Degree

Graduate or Professional Name/Location/Course of Study/Years Completed/Degree

Other (Specify)

Describe any specialized training, apprenticeship, skills and extra-curricular activities.

Describe any job related training received in the United States military.

EMPLOYMENT HISTORY

Employer 1 (latest or current)

Address

Phone Number(s)

Job Title

Supervisor

Reason for Leaving

Dates (From - To)

Work Duties

Employer 2

Address

Phone Number

Job Title

Supervisor

Reason for Leaving

Dates (From - To)

Work Duties

Employer 3

Address

Phone Number

Job Title

Supervisor

Reason for Leaving

Dates (From - To)

Work Duties

Resume(Required)

Max. file size: 256 MB.

REFERENCES

Name 1

First Last

Phone 1

Address 1

Street Address City State / Province / Region ZIP / Postal Code

Name 2

First Last

Phone 2

Address 2

Street Address City State / Province / Region ZIP / Postal Code

Name 3

First Last

Phone 3

Address 3

Street Address City State / Province / Region ZIP / Postal Code

STATEMENT

Acknowledgement of Understanding(Required)

I understand and affirm this statement.

I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and Climate Control Company may discharge Employee at any time with or without cause. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Climate Control Company. By clicking this checkbox and submitting this application, I understand and affirm the entire contents of this statement.