Employment Application Form for Tri-State Appliance Repair

Employment Application Form for Tri-State Appliance Repair

Please fill out your personal details, work experience, and availability to apply.
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Appliance Repair TechnicianService Technician (Apprentice/Entry-Level)Delivery & Installation SpecialistParts Counter AssociateCustomer Service RepresentativeOffice/Admin SupportOther
Full-TimePart-Time
Available Start Date*

MonthDayYear
Date
Current or Most Recent Employer
Position (Current or Most Recent)
Dates Employed (Current or Most Recent)
Responsibilities (Current or Most Recent)
Previous Employer
Position (Previous)
Dates Employed (Previous)
Responsibilities (Previous)
Appliance Repair ExperienceElectrical KnowledgeHVAC/Mechanical ExperienceCustomer Service ExperienceValid Driver’s LicenseClean Driving RecordAbility to Lift 50+ lbsBasic Computer SkillsOther
Certifications (if applicable)
YesNo
School Name (High School / GED)
Additional Training or Certifications
Reference 1 Name
Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Name
Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Why do you want to work with Tri-State Appliance Repair?
Upload Resume

Cancelof
Signature*
Date*

MonthDayYear
Date
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