Open Positions HVAC Service Technician Troubleshooting and maintenance of HVAC systems. Knowledge of refrigeration and boiler systems. Application for Employment Position(s) Applied for(Required) Date of Application(Required) MM slash DD slash YYYY Rate of Pay Expected Last Name(Required) First Name(Required) Middle Initial(Required) Address(Required)City(Required) State(Required) Zip(Required) Phone(Required)Email(Required) If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No Valid driver's license no. C.D.L. license no. Have you ever been employed with us before? Yes No Date MM slash DD slash YYYY Are you currently employed? Yes No May we contact your present employer? Yes No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes No Proof of citizenship or immigration status will be required upon employment.On what date would you be available for work? MM slash DD slash YYYY Are you available to work: Full Time Part Time Temporary Are you currently on "lay-off" status and subject to recall? Yes No EducationSelect last year of school completedGrade SchoolSelect an Option5678High SchoolSelect an Option1234CollegeSelect an Option123456High School Business or Trade College Degrees Earned Scholastic Honors State any additional information or experiences you feel may be helpful to us in considering your application.List professional, trade, business or civic activities and offices held. (you may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or handicap or other protected status):Have you ever had any job-related training in the United States Military? Yes No If Yes, please describe ReferencesReference #1Name PhoneAddress Select One Personal Business Reference #2Name PhoneAddress Select One Personal Business Reference #3Name PhoneAddress Select One Personal Business Employment ExperienceStart with your Present or last jobJob #1Present Employer Address Dates Employed Job Title Starting Rate/Salary Final Rate/Salary Description of Work Reason for Leaving Job #2Present Employer Address Dates Employed Job Title Starting Rate/Salary Final Rate/Salary Description of Work Reason for Leaving Job #3Present Employer Address Dates Employed Job Title Starting Rate/Salary Final Rate/Salary Description of Work Reason for Leaving Are you currently employed part time? Yes No Employer Please read the following carefully before signing this Application Form. I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU. - I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT ANY PRIOR NOTICE. APPLICATIONS ARE CONSIDERED ACTIVE FOR A PERIOD OF 30 DAYS Signature of Applicant Date MM slash DD slash YYYY Who to notify in emergency Phone Proudly Serving Manitowoc County and the Surrounding Communities Call Today
