Applicant InformationApplicant Name* Address* Daytime Phone Number* Email Address* Position InformationPosition Applying for* Part Time/Full Time* Salary Desired* Salary Desired* Are you legally eligible for work in the United States of America? (If chosen, you will be required to prove your identity and eligibility)* Are you at least 18 years of age? If under 18, please list age.* Have you ever been convicted of a crime? If yes, explain the number of conviction(s), nature of offense(s) leading to the conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed and type(s) of rehabilitation.* High School or EquivalentSchool Name(s)* City/State* Number of Years Completed* 1 2 3 4 Begin Date MM slash DD slash YYYY Graduation Date MM slash DD slash YYYY Degree Obtained* GPA* Additional Information* Undergraduate ExperienceSchool Name* City/State* Number of Years Completed* 1 2 3 4 Begin Date MM slash DD slash YYYY Graduation Date MM slash DD slash YYYY Major* Minor* Degree/Certificate GPA Graduate ExperienceSchool Name Address Degree Type Begin Date MM slash DD slash YYYY Graduation Date MM slash DD slash YYYY Major School Thesis Topic GPA Employment History (List the Last Employer First)Employment OneName of Company Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Salary Ending Salary Responsibilities Supervisor Name(s) and Phone Number May we contact them? Yes No Employment TwoName of Company Job Title Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Job Title Ending Salary Starting Salary Reason for Separation Responsibilities Supervisor Name(s) and Phone Number May we contact them? Yes No Employment ThreeName of Company Job Title Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Salary Ending Salary Reason for Separation Responsibilities Supervisor Name(s) and Phone Number May we contact them? Yes No Applicants Driving Information (Only fill out if you will be driving for the position)Do you have a driver's license? Yes No Driver's License Number/State of Issue/Expiration Date CDL Yes No Have you had any accidents during the past 5 years? If so, how many? Have you had any moving violations during the past 5 years? If so, how many? Applicant BackgroundHave you ever been terminated or asked to resign from a job? If so, please explain. Position BackgroundBest time/day for a possible interview? How did you hear about this position? Office OnlyTyping: WPM Computer PC Mac QuickBooks Microsoft Office Other Skills ReferencesProfessional ReferencesName/Relationship/Contact Information Name/Relationship/Contact Information Personal ReferencesName/Relationship/Contact Information Name/Relationship/Contact Information Application Form WaiverIn exchange for the consideration of my job application by LINS Heating & Air Conditioning (hereinafter called “the Company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Lins Heating and Air Conditioning, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and Lins Heating and Air Conditioning may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for preemployment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of jobrelated physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.Signature of Applicant* Date MM slash DD slash YYYY This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regards to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure that your opportunity for employment with this Company depends solely on your qualifications.CAPTCHA Loading…
