Climatic Heating and Cooling

Employment Application

APPLICATION FOR EMPLOYMENT WITH CLIMATIC

All statements made by applicants for employment on this application form will be checked for accuracy. We offer equal employment opportunities to all persons without regard to race, color, religion, age, marital or veterans' status, sex, national origin disability, or any other legally protected status.

PERSONAL INFORMATION

Name(Required)
Address(Required)
Are you over the age of 18?(Required)
If No, employment is subject to verification that you are of minimum legal age.
Are you a veteran?(Required)
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?(Required)
Can you produce documented proof of your eligibility for employment in the United States?(Required)

Have you applied for a job with us before?(Required)
Have you ever worked for us before?(Required)

EDUCATION

Check Last Year Completed
Check Last Year Completed
Check Last Year Completed

Have you ever been convicted of a felony?(Required)
Have you ever been discharged or requested to resign from a position?(Required)
Are you employed now?(Required)
Have you ever held a position of trust (handling money or confidential material)?(Required)
Do you have any reason to believe that you would have difficulty meeting this company's work schedule?(Required)
Can you perform the essential functions of the position for which you are interviewing with or without reasonable accomodations?(Required)

PRIOR WORK RECORD (Start with most recent or present employer and complete in full.)

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May we contact this employer?
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May we contact this employer?
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May we contact this employer?

REFERENCES (Do Not List Relatives or Former Employers)

Name
Name
Name

Job Applicant's Agreement and Certification(Required)
"I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information."

"I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the company retains the same right."

"I agree to submlt to a physical examination whenever requested, and I understand my becoming employed and/or my continued employment are subject to the results of any physical examination related to my job duties in accordance with company policies and procedures." "I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise policies and procedures, in whole or in part, at any time."

"I understand that this application will be kept on active file for six months from the date completed, after which time I would have to reapply in accordance with established company procedures."
This field is for validation purposes and should be left unchanged.

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