Application Form

High Tech Heating and AC is an equal opportunity employer and does not discriminate on the basis of age, race, creed, color, handicap, marital status, sex, national origin, ancestry, sexual orientation, arrest or conviction record, or veteran status.

Name*

First Last

Phone Number*

Email*

Present Address*

Street Address City State Zip

Are you 18 years of age or older?*

Yes

Is Permanent Address Same?*

Yes

Permanent Address

Street Address Address Line 2 City State ZIP Code

Employment Desired

Position(s) applying for:*

Date you can start?

Full Time

Part Time

Rate of pay you expect per hour?

Have you filed for an application of employment with us before?*

Yes

Indicate special qualifications or skills:

EDUCATION

List your educational experience which you believe is relevant for the position you are applying for.

High School - Name and Location:

High School - Years completed

High School - Did you graduate?

Yes

High School Course of study:

College Name and Location:

College number of years completed

College - Did you graduate?

Yes

College - Course of study:

Other - Number of years completed

Other Education (please specify) Name and Location:

Other- Did you graduate?

Yes

Other - Course of study:

References

Names and addresses (not former employers or relatives

Reference Name - 1

Telephone Number

Address

Years acquainted?

Reference Name - 2

Address

Telephone Number

Years acquainted?

Reference Name - 3

Address

Telephone Number

Years acquainted?

Relatives and/or friends employed by High Tech Heating and AC

Friend/Relative name

Relationship

Friend/Relative name

Relationship

EMPLOYMENT HISTORY

Employer 1

Employer 1 - Company Name & Address

Employer 1 - Contact Name

Employer 1 - Contact Number

Employer 1 - Position/Work Performed

Work Dates - From: mm/yyyyy TO mm/yyyyy

Wage/Salary

Reason for leaving?

Employer 2

Employer 2 - Company Name & Address

Employer 2 - Contact Name

Employer 2 - Contact Number

Employer 2 - Position/Work Performed

Work Dates - From: mm/yyyyy TO mm/yyyyy

Wage/Salary

Reason for leaving?

Employer 3

Employer 3 - Company Name & Address

Employer 3 - Contact Name

Employer 3 - Contact Number

Employer 3 - Position/Work Performed

Work Dates - From: mm/yyyyy TO mm/yyyyy

Wage/Salary

Reason for leaving?

Are you currently working?

Yes

Are you able to perform, with or without reasonable accommodation, the job functions of the positions for which you are applying?

Yes

Do you hold a valid driver's license?*

Yes

READ BEFORE SIGNING

I certify that the information contained in this application is true and complete to the best of my knowledge, and I authorize High Tech Heating and AC, to investigate all statements made, and understand that the falsification of this application in any detail may result in disqualification from further consideration or dismissal from employment. I release every person seeking or providing information from all liability or legal claims. I understand that employment with High Tech Heating and AC, is at will, terminable at any time by High Tech Heating and AC, at its sole discretion with or without cause and with or without notice. I further understand that such employment is not contractual, and remains as such unless and until an express written contract is entered into and executed in writing by me and High Tech Heating and AC and that no contract is formed or offered by this application or any employment handbook I understand the employment High Tech Heating and AC, is pursuant to terms and conditions established by High Tech Heating and AC, and are subject to change without notice. I certify that I have read and understand the above verification.

Acceptance & Signature*

I agree to the above conditions and to High Tech Heating and AC Privacy Policy

WORK REFERENCE RELEASE

I hereby authorize any former employer to release to High Tech Heating and AC, any information such former employer may have relating to my employment, such information to be either verbal or written form, I hereby release to High Tech Heating and AC and any former employer, and any of their employees and agents from any liability or claim which may arise from the transfer or receipt of any such information.*

I accept

Apply Now

High Tech Heating & AC

Application Form

Application Form

Employment Desired

EDUCATION

References

EMPLOYMENT HISTORY

Employer 1

Employer 2

Employer 3

READ BEFORE SIGNING

WORK REFERENCE RELEASE