Email(Required) Name(Required) First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone Number(Required)Secondary Phone NumberSocial Security Number(Required) When are you available to begin work?(Required) Are you willing to work overtime if needed?(Required) Yes No Have you ever applied for employment with us before?(Required) Yes No If you've applied before, when was that? Are you legally authorized to work in the U.S.?(Required) Yes No Can you provide proof that you are 18 years of age or older?(Required) Yes No Have you ever been convicted of a felony?(Required) Yes No If you answered "yes" to the above question, please explain. Are you applying for a position that requires you to drive a company vehicle?(Required) Yes No I'm not sure Which position(s) are you interested in?(Required) Customer Service Representative HVAC Technician Installer Other Note: Proof of eligibility of employment will be required as a condition of employment. Convictions of a felony does not necessarily disqualify you for employment. Do not include sealed or expunged convictions. Individuals applying for a position in which they are required to drive a vehicle must have a valid driver's license and submit to a vehicle and driving background check. All potential employees must submit to a drug screening prior to being hired. Education HistoryDid you attend college?(Required) Yes No If so, where did you attend college? What did you study? Did you graduate? If so, what year? What is your degree, if any? Where did you attend High School? Did you graduate? What year did you graduate? If so, what year?(Required) What other education history do you have, if any? ReferencesPlease provide THREE references that can vouch for your character and work ethic. Reference #1. Provide name, business title, address & phone #, your relationship, and how long you've known them.(Required) Reference #2. Provide name, business title, address & phone #, your relationship, and how long you've known them.(Required) Reference #3. Provide name, business title, address & phone #, your relationship, and how long you've known them. Employment HistoryMay we contact your current employer? Yes No I am not currently employed. Submit resume with your Employment History.Max. file size: 10 MB.Submit a copy of your driver's license.Max. file size: 10 MB.A resume and copy of driver's license are required with this application. If you're unable to upload them here, please deliver or mail them to 186 Greer Road, Pineville, LA 71360. (Note: Please call in advance to arrange delivery. 709-5984) I will hand-deliver these documents. I will mail the documents. Certification & Authorization: Please read carefully before submitting.I understand that the completion of this application does not indicate that there are any positions open and does not in any way obligate ABC Heating and Cooling Inc. to hire me or offer me a job. Permission is hereby granted to any school, person, firm, or corporation whether my former employer or otherwise to give this company any relevant information that may be required to arrive at an employment decision. I hereby release this company, its officers, employees, representatives or agents from any liability and/or damages incurred by myself in obtaining such information. I understand that as a matter of company policy, my employment and compensation shall continue so long as mutually agreeable, and may be terminated by the company or me without cause or notice. No policy or statement by any company representative (other than a formal employment agreement signed by an officer of the corporation) is to be considered a contract of employment, whether expressed or implied, for any specific period of time or upon any continuing term. This company reserves the right to use any method of investigation which, in in its sole discretion, it deems reasonable and necessary to determine whether any employee has engaged in conduct warranting disciplinary action. As a condition of employment, if hired, I agree to cooperate in any such investigation. As a condition of my employment, I voluntarily agree to cooperate in submitting to any blood or urine tests requested by the company as well as any searches of my person or property, while employed by the company and I recognize that a refusal to cooperate in such tests or searches would be grounds for discipline including termination. I understand that if hired, the company due to any misrepresentation, misinformation or inaccuracy of the statement contained herein may terminate my employment. I authorize the company to investigate all statements contained in this application for accuracy and completeness, and to obtain any transcripts, records, or documents pertaining to my background and business experience as required by the company. If hired, I agree to conform to the rules and regulations of ABC Heating and Cooling Inc. I also attest that I am authorized to work in the United States. I understand this application will remain for 30 days. If I have not been hired by that date, I must renew my application to be considered for future employment. Type your full name and date to sign.(Required) Δ
