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Employment
Name
E-Mail
Phone
Address
Have you ever been employed by our company?
Yes
No
If you are under 18, can you provide proof of your eligibility to work?
Yes
No
Are you currently employed?
Yes
No
If not, how long since your last employment?
May we contact your present employer?
Yes
No
Are you prevented from lawfully becoming employed in this country because of Visa? (Proof of citizenship will be required upon employment)
Yes
No
On what date will you be available for work?
Do you posses a clean NYS drivers license?
Yes
No
Position desired?
Service Mechanic
Jr. Service Mechanic
Mechanic
Jr. Mechanic
Helper
Salary Range:
List any certifications or occupational licenses:
List any HVAC experience:
Have you been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify an applicant from employment)
Yes
No
If yes, please explain
Comments or Questions?
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