MACCA APPRENTICESHIP COMMITTEE / UN-EMPLOYED APPLICANT

MACCA APPRENTICESHIP COMMITTEE / UN-EMPLOYED APPLICANT
Employment Information Sheet
To Applicant: This application is for those with an interest in the MACCA Air Conditioning Apprenticeship Program and NOT currently employed by a local HVAC contractor. Upon complete execution of this application by the Applicant, MACCA will endeavor to obtain

employment by fax distribution of this application to the members of MACCA.

To Employers: Those employers expressing an interest in the applicant will arrange for an employment interview with the applicant. No information requested on this application is to be used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state, and federal laws. All employers are expected to be equal opportunity employers, have bonafide drug-testing programs, and comply with all applicable local, state, and federal laws.
PLEASE PRINT
Name
Date of Application

MonthDayYear
Date
Address

Address

Street Address Line 2

CityState

Zip
Phone No.

Country CodeArea CodePhone Number
Alternate Phone No.

Country CodeArea CodePhone Number
Email
example@example.com
Are you at least 18 years of age?
Do you have a legal right to work in the United States?
(Successful applicants will be required to prove identity and eligibility for employment)
SKILLS AND QUALIFICATIONS
Summarize any training, skills, licenses, and/or certificates that may qualify you for an applicable job:
EDUCATIONAL BACKGROUND
High School:
Location:
No. of Years Completed:
Diploma:
College/Trade or Business School:
Location:
No. of Years Completed:
Degree/Certification
EMPLOYMENT HISTORY
(Provide the following information on your past three (3) positions, assignments, and/or jobs, starting with the most recent employer)
Employer Name #1:
Employer Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone:
Please enter a valid phone number.
Job Description:
Employment Dates (From/To):
Final Wage:
Reason For Leaving:
Employer Name #2:
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone:
Please enter a valid phone number.
Job Description:
Employment Dates (From/To):
Final Wage:
Reason For Leaving:
Employer Name #3:
Employer Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone:
Please enter a valid phone number.
Job Description:
Employment Dates (From/To):
Final Wage:
Reason For Leaving:
I, the undersigned, hereby represent and affirm the information presented above is factual and correct, that I have read and fully understand the above and wish to obtain employment through MACCA under these conditions.
Signature of Applicant
Date

MonthDayYear
Date
Birth Date

MonthDayYear
Please verify that you are human*
Should be Empty:

MACCA APPRENTICESHIP COMMITTEE / UN-EMPLOYED APPLICANT

Employment Information Sheet

PLEASE PRINT

SKILLS AND QUALIFICATIONS

EDUCATIONAL BACKGROUND

EMPLOYMENT HISTORY