Jolly Heating and Air Conditioning, Inc.

Jolly Heating and Air Conditioning, Inc.
APPLICATION FOR EMPLOYMENT

THIS IS A NON-SMOKING ENVIRONMENT
Which position(s) are you applying for? (You may select more than one) *

Temporary Labor Installer's Helper Installer Service Technician Administrative Foreman Sheet metal Mechanic Shop/Warehouse Project Manager
Personal Information
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email
example@example.com

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth *

Month Day Year
Date
Emergency Contact *
Relationship
*
Name
*
Phone Number
Do you have a valid driver's license? *

Yes No
Driver's License # *
Have you ever had a misdemeanor or felony charge against you? If yes, please explain. *
Have you had a D.U.I. or any traffic violations in the past five years? *

Yes No
Please explain if you answered yes to getting a D.U.I. in the past 5 years. Type N/A if you answered no. *
***If you are called in for an interview you MUST provide a M.V.R. report from the Alabama State Trooper's office. (Your proof of insurance will not suffice.)***
Education
High School *
Years Attended *
Any College or Trade School *
Years Attended *
Other Trades or Training *
Are you currently employed? *

Yes No
May we contact your employer? *

Yes No
Have you ever been employed by a mechanical/HVAC contractor? *

Yes No
If so, with whom and when? *
EMPLOYMENT HISTORY

Start with most recent job first

Company Name

Dates Employed

Reason for Leaving

Phone

Salary

Employment History 1

Employment History 2

Employment History 3

Desired Salary
Have you ever been injured on a job and/ or filed a worker's compensation claim? *

Yes No
If yes, please explain injury and when *
Do you have any physical disabilities that would not allow you to do the position applied for? *

Yes No
If yes, please explain *
Are you capable of lifting 75 lbs? *

Yes No
Do you have any problems working with ladders, roofs, in attics, crawl spaces, inclement weather, with chemicals, and electrical/ gas? (All tools of the trade) *

Yes No Does Not Apply to Position I am Applying For
If yes, please explain *
Date you could start work? *

Month Day Year
Date
All Employees are Subject to Random Drug Testing

“I certify that all the information submitted by me on this application is true and complete. I understand that any false information,omissions, or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at anytime. In consideration of my employment I agree to confirm the company’s rules and regulations and I agree that my employment and compensation can be terminated , with or without cause, and with or without notice at anytime by the company. I understand that no company representative other than its president and then only in writing and signed by the president has any authority to enter into any agreement contrary to the forgoing."
Signature *

Clear
Today's Date *

Month Day Year
Date
Interviewed By
Date

Month Day Year
Date
Remarks
Hired?

Yes No
Postion
Salary/ Wage
Start Date

Month Day Year
Date
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Jolly Heating and Air Conditioning, Inc.

APPLICATION FOR EMPLOYMENT

Personal Information

Education

EMPLOYMENT HISTORY

All Employees are Subject to Random Drug Testing