Employment | Classic Comfort Heating & Air Conditioning

Application For Employment

Personal Information

Name:

Phone Number:

Email:

Present Address:

City:

Place of Birth:

Date of Birth:

Social Security #:

Driver's License #:

Are you a US citizen?

Yes No

Is your driving record good (insurable)?

Yes No

Employment Desired

Position:

Salary Desired:

Are you employed?

Yes No

If so, may we inquire of your employer?

Yes No

When can you start?

How did you hear about us?

Education

High School

Name and Location:

Years Attended:

Date Graduated:

Subjects:

College

Name and Location:

Years Attended:

Date Graduated:

Subjects:

Trade/Other:

Name and Location:

Years Attended:

Date Graduated:

Subjects:

Describe Any Special Training or Skills

Employment History (Start with your most recent employer)

Employer #1

Dates Employed:

From:

To:

Business Name & Manager Name & Phone #

Position:

Salary:

Reason for Leaving:

Employer #2

Dates Employed:

From:

To:

Business Name & Manager Name & Phone #

Position:

Salary:

Reason for Leaving:

Employer #3

Dates Employed:

From:

To:

Business Name & Manager Name & Phone #

Position:

Salary:

Reason for Leaving:

References

List persons, not related to you, whom you have known at least one year.

Name:

Address:

Business:

Years Known:

Name:

Address:

Business:

Years Known:

Name:

Address:

Business:

Years Known:

Physical Limitations

Do you have any physical limitations that preclude you from performing any work for which you are applying?
Yes No

If yes, please explain:

In case of emergency, notify:

Name:

Relationship:

Phone #:

Have you ever been convicted of a crime?
Yes No

If yes, please explain:

Have you ever had a drug or alcohol problem?
Yes No

If so, are you recovered?

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In event of employment, I understand that false or misleading information given in my application may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature of Applicant
(type your full name)