HVAC Service Technician - Field Expert

" * " indicates required fields Personal Name * First Middle Last Current Address * Position Applied For Salary Expected This field is hidden when viewing the form This field is hidden when viewing the form Job Code How did you learn about this employment opportunity? Advertisement Employee Referral Advertisement or employee name who referred you Telephone Number * Your Email * Have you ever been employed with us before? No Yes Date/Position of previous employment Are you currently employed? Yes No On what date would you be available for work? * MM slash DD slash YYYY Are you available to work: * Full Time Part Time Temporary Can you travel for work if necessary? Yes No Do you currently hold a valid driver’s license? Yes No Are you legally eligible to work in the United States? Yes No Are you 18 years of age or older? Yes No Are you willing to take drug tests at the Company’s request? Yes No Other names known as (i.e. maiden name, etc.): Education High School School Name/Location Last Year Completed Yes No Technical/Trade School School Name/Location Last Year Completed Yes No Degree/Major Universtiy/College School Name/Location Last Year Completed Yes No Degree/Major Military Have you ever served in the U.S. military? * Yes What was the length of your military service, if applicable? What type of training and work experience did you receive while in the military, if applicable? Employment History Employer (1) Address Phone Position Title and Duties Starting Date MM slash DD slash YYYY Ending Date MM slash DD slash YYYY Starting Pay Ending Pay Why did you leave this job? May we contact this employer? Yes No Employer (2) Address Phone Position Title and Duties Starting Date MM slash DD slash YYYY Ending Date MM slash DD slash YYYY Starting Pay Ending Pay Why did you leave this job? May we contact this employer? Yes No References List the names, addresses and telephone numbers of 2 references who are NOT related to you. Reference Name (1) Phone Number Relationship Reference Name (2) Phone Number Relationship Reference Name (3) Phone Number Relationship Equal Employment Opportunity Statement: Schneider Heating and Air Conditioning is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or veteran status. Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process. Equal Employment Opportunity Statement: Schneider Heating and Air Conditioning is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or veteran status. Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process. Applicant's Statement * I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company (Schneider Heating and Air Conditioning). If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change. I authorize the Company to conduct employment, driving record and criminal background checks about me and am aware that information resulting from these checks will become part of my employment record. I authorize the Company to speak with my personal and professional acquaintances to gather information about me and my performance. I authorize all former employers and references to provide any information about me to the Company, and release them of all liabilities and damages for providing this information. I authorize the Company to verify the accuracy of the information within this application. I also authorize the release of my educational transcripts to the Company for education verification purposes. If I become employed by the Company, I understand that the employment relationship will be “at will,” and that the “at will” status may not change at any time unless specifically approved, in writing, by the Company owners. I certify that the information provided in this application is true, to the best of my knowledge. Signature Date * MM slash DD slash YYYY Comments This field is for validation purposes and should be left unchanged. #J-18808-Ljbffr