TRI-COUNTY M E C H A N I C A L

TRI-COUNTY M E C H A N I C A L

Job Application Form
Position Applying for*
Job posting location
Please state where you saw this post advertised
Referral
Please enter the name of the person who referred you to apply
THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE.
Section 1

Personal details
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Telephone*
Email address
example@example.com
Driving License Do you hold a full, clean valid driving license?*

YesNo
Available Start date*

MonthDayYear
Date
Salary range
Please enter your desired salary range
Section 2

Present Employment (If now unemployed give details of last employer)
Name of Employer*
Address
Job Title
Brief description of duties
Last day of Service

MonthDayYear
(If no longer employed)
Reason for leaving
(if no longer employed)
Section 3

Previous Employment (most recent employer first. Please cover the last 10 years and state nature of business - if not public sector)
Name of Employer *
Position Held
Summary of duties
Date From

MonthDayYear
Date
Date To

MonthDayYear
Date
Reason for leaving
Previous Employment
Name of Employer
Position Held
Summary of duties
Date From

MonthDayYear
Date
Date To

MonthDayYear
Date
Reason for leaving
Section 4

Education (Colleges, Universities, & Trade Schools)
Fill out as many as needed
Please use this format
Please use this format
Please use this format
Please use this format
Please use this format
Please use this format
Undergraduate (College)
Name of School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years and Notes
Number of years completed and any notes you'd like us to consider
High School
Name of School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years and Notes
Number of years completed and any notes you'd like us to consider
Elementary School
Name of School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years and Notes
Number of years completed and any notes you'd like us to consider
Other
Specify
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years and Notes
Number of years completed and any notes you'd like us to consider
Section 5

Training and Development
Professional, Technical or Management Qualifications
Professional, Technical or Management Courses Taken
Membership of any Professional or Technical Associations
Please indicate level of Membership
Training and Development
Please give details of any training and development courses or non-qualifications courses which support your application.
Formal and On-the-Job training
Please give details of any On-the-Job training which support your application.
Abilities, skills, knowledge and experience.*
Please use this section to explain in detail how you meet the requirements of the job description. If you are or have been involved in voluntary/unpaid activities, please also include this information.
Section 6

References
Please give the names and addresses of your two most recent employers (if applicable If you are unable to do this, please clearly outline who your references are)
Reference 1
Name*
Position (job title)*
Work Relationship
Organization*
Address

Address

Street Address Line 2

CityState / Province

Zip code
Telephone *
Email
example@example.com
May we contact?*

YesNo
Reference 2
Name*
Position (job title)*
Work Relationship
Organization*
Address

Address

Street Address Line 2

CityState / Province

Zip code
Telephone*
Email address
example@example.com
May we contact?*

YesNo
Section 7

Declaration
Are you related to or do you have a close personal relationship or employee(s) of TRI-COUNTY Mechanical?*

YesNo
If yes, specify name(s), position(s) and relationship(s)
If appointed, do you have any interests or hold any appointments that may conflict with employment in the role for which you have applied?*

YesNo
B. Statement to be Signed by the Applicant

Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered.

I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
Signature*

Clear
Date*

MonthDayYear
Date
(Candidates selected for interview will normally be notified within 24-48 hours of the closing date. Unfortunately, applicants who do not hear from TRI-COUNTY Mechanical must conclude that their application has been unsuccessful on this occasion).

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TRI-COUNTY M E C H A N I C A L

Section 1

Section 2

Section 3

Section 4

Section 5

Section 6

Reference 1

Reference 2

Section 7