Hea ng, Ven la on, Air Condi oning, & Refrigera on Technology

Size: px
Start display at page:

Download "Hea ng, Ven la on, Air Condi oning, & Refrigera on Technology"

Transcription

1 1100 Liberty Street Knoville, TN T: F: Hea ng, Ven la on, Air Condi oning, & Refrigera on Technology The HVAC & R program is an individual program that prepares students to work in a variety of jobs in the field of air condi oning and refrigera on. Students are prepared to troubleshoot, repair, and maintain residen al and commercial refrigera on; air condi oning; heat pumps; humidifiers; and electrical and gas hea ng. Students also learn the fundamentals of electricity, electric motors, and controls. Graduates of the program will be able to install and braze refrigera on tubing, diagnose electrical problems; install duct systems; repair light commercial equipment; recover air condi oning and refrigera on refrigerants; locate and repair leaks. Program/Loca on Length Days Time Day Program/ Knoville Campus 16 Months Monday Friday 8:00am 2:30 pm Night Program/Knoville Campus 16 Months Monday Friday 3:30 pm 10:00 pm Day Program/Strawberry Plains 16 Months Monday Friday 8:00am 2:30 pm HVA 0001 HVA 1010 HVA 1020 HVA 1030 HVA 1040 HVA 1050 HVA 1060 HVA 1070 HVA 1080 HVA 1090 HVA 0002 HVA 2010 HVA 2020 HVA 2030 HVA 2040 HVA 2050 HVA 2060 HVA 0003 HVA 3010 HVA 3020 HVA 3030 HVA 3040 HVA 3050 HVA 0004 HVA 4010 HVA 4020 HVA 4030 Curriculum/Courses Technology Founda ons OSHA Shop Safety Refrigera on Fundamentals Tools Equip & Shop Prac ces Electricity and Controls I Installa on Green Awareness Employment Readiness Eam Introduc on to System Service Basic Automa c Controls Motors Domes c Appliances EPA Employment Readiness Eam Gas Electric and Heat Air Condi oning (Cooling) Heat Pumps Carbon Monoide All Weather Systems Eam Electricity and Controls II Commercial Refrigera on Employment Readiness Eam Comple on Award Required Hours HVAC Mechanic Assistant Cer ficate 432 Domes c Unit Repair Cer ficate 864 Hea ng, Ven la on, and Air Diploma 1296 Condi oning Technician Hea ng, Ven la on, Air Condi oning and Refrigera on Technician Diploma 1728 HOW TO APPLY All Documents Must be Presented Together to Apply 1. Complete the Free Applica on For Federal Student Aid (FAFSA) online the website is and our school code is Complete TCAT Applica on for Enrollment (Form is A ached)

2

3 Heating, Ventilation, Air Conditioning, & Refrigeration Technology Book, Tool, and Supply List For the most current pricing available please reference the bookstore at (Please Select Division Campus and TCATK term to see books available.) 1st Trimester * 1, OSHA 10 Training TOTAL 1, Book ISBN Required Bundle: Refrigeration & Air Conditioning Technology, 8th Refrigeration & Air Conditioning Technology, 7th (part of bundle above) Lab Manual for Refrig, 7th with access code (part of bundle above) Lab Manual for Refrigeration & Air Conditioning (part of bundle above) Internet Companion for 2 yrs (part of the bundle) no isbn EPA Cert Prep Manual for Air Conditioning & Refrigeration Electrical Theory & Application for HVACR TOTAL Supplies Needed By Required Dark Blue Denim Jeans Light Blue Short Sleeve Work Shirts Light Blue Long Sleeve Work Shirt Dark Blue Service Jacket Black Belt Steel Toe Work Boots Pair Leather Work Gloves Safety Glasses USB Flash Drive 4 GB TOTAL Insert a new row above this line Tools Needed By Required 2-1" Digital Type Thermometer Pocket 2 Adjustable Wrenches (1-6" & 1-8") 2 Long He Key Sets 6" & 8" Length 1 Refrigeration Ratchet Wrench 1 Refrigeration Ratchet He Key Adapter Refrigerant Hose 1/4" 3 Phillips Type Screwdriver #3, #4, #6 3 Blade Type Screwdriver #4, #6, #8 1 Set of 3 Low Loss Ball Valve Fitting 1 Set of Digital or Analog Manifold Gauges for Both R-22 & R410A Combination Wrench Set 1/4" & 7/8" Combination Wrench Set Metric #5 - #15 Flaring Block Clamp-on Amp Meter w Voltage, Resistance Capacitance & Tempe Tubing Cutter for Copper Tube 1/8" 1" 1/4 Drive Socket Set 1/8"-1/2" Combination Metric & Standard 3/8 Drive Socket Set 3/8"-1" Combination Metric & Standard Swaging Tool Set 1/4", 3/8", 1/2", 5/8" Tool Bag 10" Channellock Pliers Wire Crimp Pliers All s are Estimated and Subject to Change Without Notice Revised: 2/5/2018 *Denotes costs that can be covered by TN Promise and TN Reconnect

4 Diagonal Cutting Pliers SAE Nut Driver Set 6" Straight Pliers 16' Steel Tape Measure 12 Ounce Ball Peen Hammer Small Flashlight Scrader Core Removal Tool Lineman Electrical Pliers Needle Nose Pliers 6" Length Wire Stripper Pliers with Cutter Inspection Mirror Small Tubing Benders for 1/4", 3/8", & 1/2" Mega Ohmmeter TOTAL 1, Eam Preventative Maintenance Technician Certification Green Technician Certification TOTAL nd Trimester * 1, TOTAL 1, Eam EPA 608 Eam EPA 410a Certification TOTAL rd Trimester * 1, TOTAL 1, Eam Electrical Employment Readiness Eam Air Conditioning Employment Readiness Eam Heat Pump Employment Readiness Eam TOTAL th Trimester * 1, TOTAL 1, Eam Air Conditioning Employment Readiness Eam Heat Employment Readiness Eam Electrical Employment Readiness Eam TOTAL Miscelleanous Required Graduation Supplies TOTAL TOTAL PROGRAM COST 7, All s are Estimated and Subject to Change Without Notice Revised: 2/5/2018 *Denotes costs that can be covered by TN Promise and TN Reconnect

5 ENROLLMENT APPLICATION Applicants must complete every item on this form, sign and date and return it to the College. Full Legal Name Last First Middle Address City Personal Information County State Zip Address / / Gender: M F Social Security Date of Birth Age Marital Status: Married Single Preferred Phone Number: Race: Do you consider yourself to be Hispanic/Latino/Spanish origin? Yes No Select one or more of the following racial categories to best describe you: American Indian/Alaska Native Native Hawaiian/Pacific Islander Asian White Black or African American Citizenship status: US Citizen or US National US Dual Citizen US Permanent Resident or Refugee Other US Forces Status: Currently Serving Previously Serving Current Dependent N/A ALL MALES 18 OR OLDER MUST be registered with Selective Service. Have you registered for Selective Service? Not required to registered Registered Required to register, but not registered Prior Education/ Training Education (insert highest level of education completed): Name of last high school attended: High school graduation date (mm/yyyy): GED Diploma Date Are you seeking credit for prior education, training or work eperience? Yes No Please review the campuses website and provide the program name choice for career training (Eample: Administration Office Technology) Program When will you be available to enroll in class? Fall Spring Summer Do you plan to apply for financial aid? Yes No Signature of Applicant: Date of Application: The Tennessee Colleges of Applied Technology (TCATs) do not discriminate on the basis of race, color, religion, creed, ethnic or national origin, se, seual orientation, gender identity/epression, disability, age, status as a covered veteran, genetic information and any other category protected by federal or state civil rights law with respect to all employment, programs and activities sponsored by the TCATs.

6 OFFICE USE ONLY ADMISSIONS REQUIREMENTS FAFSA I will not be filing financial aid. I will be paying for my education. Students Initials: SPECIAL ADMISSIONS REQUIREMENTS Cosmetology: Photo Proof of Age Copy of SS Card RT/LT Handed Manicuring Only Educational Transcripts Dental Assisting, Medical Assisting, and Surgical Technology HESI scores: Math 70 and Reading 70 Compass scores: Math 30 and Reading 70 HESI ACT Compass Scores: Math Reading (Date: ) CPR Documentation (BLS for Healthcare Providers) Educational Transcripts Immunizations Medical Office Information Technology Educational Transcripts Practical Nursing: HESI required scores: Math 70 and Reading 70 Compass scores: Math 50 and Reading 80 Notarized Declaration of Citizenship Copy of ID Used to Declare Citizenship CPR Documentation (BLS for Healthcare Providers) Educational Transcripts Immunizations HESI ACT Compass Scores: Math Reading (Date: ) Truck Driving: MVR DOT Physical Valid Driver s License U.S. Citizenship / Residency Staff Signature: Date: Revised: 8/16/17

Welding Technology. Day Program PSCC Strawberry Plains Campus 12 Months Monday Friday 8:00 am 2:30 pm

Welding Technology. Day Program PSCC Strawberry Plains Campus 12 Months Monday Friday 8:00 am 2:30 pm Welding Technology 1100 Liberty Street Knoxville, TN 37919 T: 865 546 5567 F: 865 971 4474 www.tcatknoxville.edu The Welding program prepares the student for cer fica on in a variety of welding techniques

More information

Action Care Ambulance APPLICATION FOR EMPLOYMENT

Action Care Ambulance APPLICATION FOR EMPLOYMENT Action Care Ambulance APPLICATION FOR EMPLOYMENT We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status,

More information

Section 1 APPLICANT INFORMATION: Please submit a resume with this Application for Employment. First Name Middle Name Last Name

Section 1 APPLICANT INFORMATION: Please submit a resume with this Application for Employment. First Name Middle Name Last Name Employment Application Utopian Academy for the Arts is an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including age, sex, color, race, creed, national

More information

The City of Seagoville, Texas 702 N. Highway 175 Seagoville, Texas (972)

The City of Seagoville, Texas 702 N. Highway 175 Seagoville, Texas (972) The City of Seagoville, Texas 702 N. Highway 175 Seagoville, Texas 75159 (972) 287-2050 An Equal Opportunity Employer / A Drug-Free Work Place APPLICATION FOR EMPLOYMENT Thank you for your interest in

More information

TOWN OF FARMVILLE EMPLOYMENT APPLICATION

TOWN OF FARMVILLE EMPLOYMENT APPLICATION TOWN OF FARMVILLE EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer: to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age,

More information

COLORADO MILITARY ACADEMY, INC.

COLORADO MILITARY ACADEMY, INC. Application for Employment Location of the School (being remodeled so please email application) 360 Command View Colorado Springs, CO (719)576-9838 OFFICE USE ONLY Position: Application Received: (Page

More information

EMPLOYMENT APPLICATION The Maryland Judiciary is an Equal Opportunity Employer

EMPLOYMENT APPLICATION The Maryland Judiciary is an Equal Opportunity Employer EMPLOYMENT APPLICATION The Maryland Judiciary is an Equal Opportunity Employer INSTRUCTIONS: Please print or type all information. Please complete all relevant sections. Your application may be rejected

More information

NORTHAMPTON COUNTY LOCAL GOVERNMENT

NORTHAMPTON COUNTY LOCAL GOVERNMENT NORTHAMPTON COUNTY LOCAL GOVERNMENT APPLICATION FOR EMPLOYMENT NORTHAMPTON COUNTY Human Resources Department 107 Thomas Bragg Drive Post Office Box 367 Jackson, NC 27845 (252) 574-0236 FAX: 534-4483 EMAIL:

More information

For County Use Only Application for Employment Date Application Received Department Pre-Employment Questionnaire

For County Use Only Application for Employment Date Application Received Department Pre-Employment Questionnaire Peach County For County Use Only Application for Employment Date Application Received Department Pre-Employment Questionnaire Date of Application Position Applied For Status Minimum Salary Acceptable Date

More information

Application for Employment City of Sutherlin

Application for Employment City of Sutherlin Application for Employment City of Sutherlin 126 E. Central Avenue ~ Sutherlin, OR. 97479 (541) 459-2856 Equal access to program, services and employment is available to all persons. Those applicants requiring

More information

General Information Minnesota Government Data Practices Act Equal Employment Opportunity Statement

General Information Minnesota Government Data Practices Act Equal Employment Opportunity Statement General Information Kandiyohi County will only accept applications for posted positions. Please complete all sections of the Application for Employment. You may type or print in black ink. Complete one

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Green Country Behavioral Health Services, Inc. 619 N Main Street Muskogee, OK 74401 Phone: 918.682.8407 Fax: 918.682.8760 We consider an applicant for all positi ons wi tho u

More information

NORTHAMPTON COUNTY LOCAL GOVERNMENT

NORTHAMPTON COUNTY LOCAL GOVERNMENT NORTHAMPTON COUNTY LOCAL GOVERNMENT APPLICATION FOR EMPLOYMENT NORTHAMPTON COUNTY Human Resources Department 107 Thomas Bragg Drive Post Office Box 367 Jackson, NC 27845 (252) 574-0236 PLEASE NOTE: Northampton

More information

STATE OF NEW JERSEY. Application for Employment

STATE OF NEW JERSEY. Application for Employment STATE OF NEW JERSEY Application for Employment The Opportunity to Compete Act, N.J.S.A. 34:6B-11 to 19, went into effect on March 1, 2015. Under this new law, an employer cannot make any inquiry either

More information

HUMAN RESOURCES DEPARTMENT 100 South Myrtle Avenue, P.O. Box 4748 Clearwater, FL

HUMAN RESOURCES DEPARTMENT 100 South Myrtle Avenue, P.O. Box 4748 Clearwater, FL HUMAN RESOURCES DEPARTMENT 100 South Myrtle Avenue, P.O. Box 4748 Clearwater, FL 33756 727-562-4870 APPLICATION FOR EMPLOYMENT Apply on-line: www.myclearwater.com Date Recv'd: A City application is required

More information

Employment Application Date:

Employment Application Date: Employment Application Date: APPLICANT INFORMATION Name: Home Phone: Cell: Address: City: ST, ZIP: Driver s Lic: Email: Dear Stepping Stone School Applicant Thank you for choosing Stepping Stone School

More information

Application for Employment

Application for Employment Education, Training and Special Skills Personal Information Application for Employment We consider applicants for all positions without regard to race, color, religion, sex, national origin, sexual orientation,

More information

APPLICATION FORM AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER

APPLICATION FORM AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER APPLICATION FORM AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER The City of Texarkana, Arkansas does not discriminate on the basis of race, color, religion, sex, national origin, age, marital or veteran

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT PLATTE COUNTY SHERIFF S OFFICE SHERIFF- STEVE KEIGLEY 850 Maple St. UNDERSHERIFF- GRADY WINDERS WHEATLAND, WY 82201 (307)322-2331 pcso@plattecountywy.org www.plattecountysheriff.org APPLICATION FOR EMPLOYMENT

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation,

More information

COUNTY OF SANTA CRUZ SCANNABLE EMPLOYMENT APPLICATION

COUNTY OF SANTA CRUZ SCANNABLE EMPLOYMENT APPLICATION COUNTY OF SANTA CRUZ SCANNABLE EMPLOYMENT APPLICATION Last Name (Cut off if longer than space provided) First Name Thank you for your interest in employment with the County of Santa Cruz. The attached

More information

STREET/UNIT NUMBER CITY STATE ZIP PHONE NUMBER ALTERNATE OR MESSAGE PHONE NUMBER ADDRESS. Yes NO. OF YEARS ATTENDED

STREET/UNIT NUMBER CITY STATE ZIP PHONE NUMBER ALTERNATE OR MESSAGE PHONE NUMBER  ADDRESS. Yes NO. OF YEARS ATTENDED It is our policy to deal with all applicants and employees without regard to race, color, religion, sex, national origin, marital status, age, disability, or status as a Vietnam era or qualified disabled

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Crown Veterinary Specialists & Associates is an equal opportunity employer. We do not discriminate on the basis of race, religion, national origin, color, sex, age, veteran status,

More information

Town of Franklin EMPLOYMENT APPLICATION An Equal Opportunity Employer

Town of Franklin EMPLOYMENT APPLICATION An Equal Opportunity Employer Town of Franklin EMPLOYMENT APPLICATION An Equal Opportunity Employer Fill out all sections COMPLETELY and to the best of your ability. Your application will be used as part of the examination process

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION Equal Opportunity Employer YOUR LOGO HERE Thanks for your interest in working for Kootenai Electric! Please review these important features of our hiring process: 1 We accept applications

More information

PREEMPLOYMENT APPLICATION. Street Address: City: State: Zip:

PREEMPLOYMENT APPLICATION. Street Address: City: State: Zip: Individual Support Services, Inc. 1006 WEST MILL STREET, SUITE A Middletown, IN 47356 765-354-9004 / 866-223-8490 / 765-354-9965 (fax) Your Road To Independence - Living Your Life Your Way PERSONAL DATA

More information

LA PORTE COUNTY PUBLIC LIBRARY 904 Indiana Avenue, La Porte, IN

LA PORTE COUNTY PUBLIC LIBRARY 904 Indiana Avenue, La Porte, IN LA PORTE COUNTY PUBLIC LIBRARY 904 Indiana Avenue, La Porte, IN 46350 219-362-6156 www.laportelibrary.org. EMPLOYMENT APPLICATION We consider applicants for all positions without regard to race, color,

More information

TOWN OF AYDEN EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer

TOWN OF AYDEN EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer TOWN OF AYDEN EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer Applications may be mailed to P.O. Box 219 or delivered to: 4144 West Avenue, Ayden, NC 28513-0219. Web: www.ayden.com

More information

APPLICATION FOR EMPLOYMENT 2990 Landrum Education Drive, Oakwood, GA Fax; telephone

APPLICATION FOR EMPLOYMENT 2990 Landrum Education Drive, Oakwood, GA Fax; telephone Daytime Telephone Number - - APPLICATION FOR EMPLOYMENT 2990 Landrum Education Drive, Oakwood, GA 30566 678-989-3096 Fax; 770-533-6903 telephone E-mail Address Last Name First Name Middle Initial Street

More information

BERTIE COUNTY EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer

BERTIE COUNTY EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer BERTIE COUNTY EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer Applications may be completed on line at www..co.bertie.nc.usa or taken to 106 Dundee Street, Office 230, or mailed

More information

Mailing Address Number and Street City and State Zip

Mailing Address Number and Street City and State Zip SANTA BARBARA COUNTY SUPERIOR COURT EMPLOYMENT APPLICATION An Equal Opportunity Employer Human Resources, 118 E. Figueroa St., Santa Barbara, CA 93101 805-882-4739 Hours: 8am 5pm M-F http://www.sbcourts.org/gi/hr

More information

EMPLOYMENT APPLICATION CAMDEN POLICE DEPARTMENT

EMPLOYMENT APPLICATION CAMDEN POLICE DEPARTMENT Dear Applicant: EMPLOYMENT APPLICATION CAMDEN POLICE DEPARTMENT The Camden Police Department seeks self-motivated and energetic individuals who possess a strong desire to serve the citizens of Camden as

More information

PERSONAL INFORMATION Last Name First Middle Initial Today s Date. Full-time only Part-time only

PERSONAL INFORMATION Last Name First Middle Initial Today s Date. Full-time only Part-time only CV Services, Inc. 10 North Frederick Street Mechanicsburg, PA 17055 Phone 717 697-3320 Fax 717 697-5967 Email bhersh@cvselectric.com Web www.cvselectric.com APPLICATION FOR EMPLOYMENT CV Services is an

More information

PERSONAL DATA Last Name: First: Middle: Today s Date: City: State: ZIP: Primary Telephone: Secondary Telephone: Address:

PERSONAL DATA Last Name: First: Middle: Today s Date: City: State: ZIP: Primary Telephone: Secondary Telephone:  Address: Advantage Surveillance, Inc. is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religion,

More information

Application for Employment

Application for Employment The Wellington School Application for Employment GENERAL INFORMATION Please include all former names. Name Telephone Address Cell phone City/State/Zip Email address Permanent address Applying for position

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT A m a r i l l o C o l l e g e P O B o x 4 4 7 A m a r i l l o, T X 7 9 1 7 8-0 0 0 1 ( 8 0 6 ) 3 7 1-5040 Date / / APPLICATION FOR EMPLOYMENT Position Which days are you available to work? (Check all that

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT Fort Vancouver Regional Library District Serving Southwest and South Central Washington State 1007 East Mill Plain Blvd. Vancouver, WA 98663 (360) 906-4953 jobs@fvrl.org APPLICATION FOR EMPLOYMENT We are

More information

CITY OF BAKERSFIELD EMPLOYMENT APPLICATION

CITY OF BAKERSFIELD EMPLOYMENT APPLICATION CITY OF BAKERSFIELD EMPLOYMENT APPLICATION CITY OF BAKERSFIELD HUMAN RESOURCES OFFICE 1600 Truxtun Ave., 1 st Floor Bakersfield, CA 93301 APPLICATION FOR EMPLOYMENT (661) 326-3773 http://www.bakersfieldcity.us

More information

Instructions & Checklist Employment Application

Instructions & Checklist Employment Application Instructions & Checklist Employment Application [_] This package contains: (1) Instructions and Checklist for the Employment Application; (2) Employment Application. [_] This application makes assertions

More information

INSTRUCTIONS TO COMPLETE INDIVIDUAL EMPLOYMENT PLAN-CWDA

INSTRUCTIONS TO COMPLETE INDIVIDUAL EMPLOYMENT PLAN-CWDA INSTRUCTIONS TO COMPLETE INDIVIDUAL EMPLOYMENT PLAN-CWDA 1) Please complete the Individual Employment Plan to the best of your abilities. If you have any questions, please contact your Career Manager.

More information

APPLICANT INFORMATION - READ VERY CAREFULLY

APPLICANT INFORMATION - READ VERY CAREFULLY EMPLOYMENT INFORMATION PAGE Human Resources 907 E. Houston Street - Cleveland, TX 77327 Phone: 281-592-2667 Fax: 281-592-6624 Website: www.clevelandtexas.com E-mail address: asmith@clevelandtexas.com Thank

More information

TOWN OF CAROLINA BEACH EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer

TOWN OF CAROLINA BEACH EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer TOWN OF CAROLINA BEACH EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer Applications may be mailed or hand delivered to: 1121 North Lake Park Boulevard, Carolina Beach, NC 28428-4131.

More information

NORTHAMPTON COUNTY LOCAL GOVERNMENT. Human Resources Department NORTHAMPTON COUNTY APPLICATION FOR EMPLOYMENT

NORTHAMPTON COUNTY LOCAL GOVERNMENT. Human Resources Department NORTHAMPTON COUNTY APPLICATION FOR EMPLOYMENT NORTHAMPTON COUNTY LOCAL GOVERNMENT APPLICATION FOR EMPLOYMENT NORTHAMPTON COUNTY Human Resources Department 107 Thomas Bragg Drive Post Office Box 367 Jackson, NC 27845 (252) 574-0236 FAX: 534-4483 HR@NHCNC.NET

More information

NOTICE OF JOB OPENING. CUSTOMER SERVICE REPRESENTATIVE-OFFICE (2 Part-Time Positions Available)

NOTICE OF JOB OPENING. CUSTOMER SERVICE REPRESENTATIVE-OFFICE (2 Part-Time Positions Available) NOTICE OF JOB OPENING CUSTOMER SERVICE REPRESENTATIVE-OFFICE (2 Part-Time Positions Available) Opening Date: February 10, 2015 Classification: Grade 5 Non-Exempt ($17.65 per hour-entry) Closing Date: February

More information

Are you legally eligible for employment in the United States? Yes No When will you be available to begin work?

Are you legally eligible for employment in the United States? Yes No When will you be available to begin work? R and G Construction Co. Employment Application 2694 County Road 6 Highway 59 South Marshall, MN 56258 Phone: (507) 537-1473 Fax: (507) 537-0513 Desired Driver Equipment Operator Laborer Mechanic Date

More information

GENERAL INFORMATION If you need to explain any answer, use the space under EXPLANATIONS near the end of this application.

GENERAL INFORMATION If you need to explain any answer, use the space under EXPLANATIONS near the end of this application. TOWN OF WILKESBORO EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer Applications may be mailed to PO Box 1056 or hand delivered to: 203 West Main Street, Wilkesboro, NC 28697-1056.

More information

FOR CURRENT JOB VACANCIES go to: THIS APPLICATION, OR ANY PART THEREOF, IS NOT A CONTRACT FOR EMPLOYMENT

FOR CURRENT JOB VACANCIES go to:  THIS APPLICATION, OR ANY PART THEREOF, IS NOT A CONTRACT FOR EMPLOYMENT Rev. Jan. 2015 CITY OF COLUMBIA - APPLICATION FOR EMPLOYMENT ALL Applications for Employment MUST be returned to: City of Columbia Office of Human Resources 1225 LADY Street (corner of Lady & Sumter) -

More information

House Parent Couple Application

House Parent Couple Application House Parent Couple Application Thank you for your interest in joining our team! We look forward to learning about you! Please answer all questions completely and clearly, following all instructions. If

More information

(PLEASE PRINT) Last Name First Name Middle Name. Address City State Zip Code

(PLEASE PRINT) Last Name First Name Middle Name. Address City State Zip Code APPLICATION FOR EMPLOYMENT We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally

More information

Human Resource Department 48 Spiller Drive Westbrook, ME Phone: Fax:

Human Resource Department 48 Spiller Drive Westbrook, ME Phone: Fax: Human Resource Department 48 Spiller Drive Westbrook, ME 04092 Phone: 207-775-2676 Fax: 207-775-2896 RKimball@sigcoinc.com APPLICATION FOR EMPLOYMENT Applicants are considered for all positions, and employees

More information

RIVER HOSPITAL 4 FULLER STREET ALEXANDRIA BAY, NY APPLICATION FOR EMPLOYMENT

RIVER HOSPITAL 4 FULLER STREET ALEXANDRIA BAY, NY APPLICATION FOR EMPLOYMENT For Office Use Only RIVER HOSPITAL 4 FULLER STREET ALEXANDRIA BAY, NY 13607 APPLICATION FOR EMPLOYMENT (Retained for One Year) Please fill out this form fully, accurately, and IN YOUR OWN HANDWRITING.

More information

Employment Application

Employment Application For Office Use Only Date: Time: ID: Shoe Size: Availability: Employment Application Please return to: Stateside Foods Ltd. 31-32 Great Bank Road Wingates Ind. Park Westhoughton Bolton BL5 3XU Tel: 01942

More information

APPLICATION FOR EMPLOYMENT St. Cloud Housing and Redevelopment Authority 1225 West St. Germain Street St. Cloud, Minnesota (320)

APPLICATION FOR EMPLOYMENT St. Cloud Housing and Redevelopment Authority 1225 West St. Germain Street St. Cloud, Minnesota (320) APPLICATION FOR EMPLOYMENT St. Cloud Housing and Redevelopment Authority 1225 West St. Germain Street St. Cloud, Minnesota 56301 (320) 252-0880 We welcome you as an applicant for employment. Your application

More information

1355 Southfield Road Lincoln Park, MI (313) ext Fax (313)

1355 Southfield Road Lincoln Park, MI (313) ext Fax (313) 1355 Southfield Road Lincoln Park, MI 48146 (313) 386-1800 ext. 1222 Fax (313) 386-3005 www.citylp.com Print Name () (First) We appreciate your interest in our City and assure you that we are sincerely

More information

Application for Employment

Application for Employment Application for Employment ASV Holdings, Inc. considers applicants for employment without regard to race, color, creed, religion, sex, national origin, age, disability, veteran status or any other legally

More information

City of Wilton Manors

City of Wilton Manors City of Wilton Manors 2020 Wilton Drive Wilton Manors, FL 33305 (954) 390-2125 APPLICATION FOR EMPLOYMENT POSITION APPLYING FOR INSTRUCTIONS: Please print or type all information. The application must

More information

Personal Information. Position you are applying for: Name Social Security Number - - Last First M.I. Address Street Apt.

Personal Information. Position you are applying for: Name Social Security Number - - Last First M.I. Address Street Apt. Last Name: First Name: MI: URBANDALE WATER UTILITY APPLICATION FOR EMPLOYMENT If you need help while completing this application form or during any phase of the employment process, please notify the Urbandale

More information

CITY OF ROANOKE RAPIDS FIRE DEPARTMENT APPLICATION FOR EMPLOYMENT

CITY OF ROANOKE RAPIDS FIRE DEPARTMENT APPLICATION FOR EMPLOYMENT We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. (PLEASE

More information

Application for Employment

Application for Employment Application for Employment The Development Authority of the North Country is an Equal Opportunity Employer and does not discriminate against otherwise qualified applicants based on race, color, creed,

More information

POSITION POSTING INTERMITTENT VEHICLE OPERATOR AIDE. 7:00 a.m. to 9:00 a.m. and 2:30 p.m. to 4:30 p.m., Monday through Friday, as required

POSITION POSTING INTERMITTENT VEHICLE OPERATOR AIDE. 7:00 a.m. to 9:00 a.m. and 2:30 p.m. to 4:30 p.m., Monday through Friday, as required POSITION POSTING INTERMITTENT VEHICLE OPERATOR AIDE REGULAR HOURS OF WORK: IMMEDIATE SUPERVISOR: 7:00 a.m. to 9:00 a.m. and 2:30 p.m. to 4:30 p.m., Monday through Friday, as required Transportation Supervisor

More information

FIRE FIGHTER EMPLOYMENT APPLICATION

FIRE FIGHTER EMPLOYMENT APPLICATION CITY OF SHAWNEE FIRE FIGHTER EMPLOYMENT APPLICATION REVISED MAY, 2012 THIS APPLICATION WILL REMAIN ON FILE CITY OF SHAWNEE FIRE DEPARTMENT ADMINISTRATION Dru Tischer, Interim Fire Chief 405-878-1538 16

More information

Application for employment

Application for employment Application for employment 314 Chestnut Street, Mankato, MN 56001-3032 PERSONAL DATA Name: Last First Middle Initial Other name(s) under which transcripts, certificates, and former applications may be

More information

Harmony Family Center, Inc. Employment Application Form. Harmony Family Center Employment Application Form

Harmony Family Center, Inc. Employment Application Form. Harmony Family Center Employment Application Form Harmony Family Center Employment Application Form Harmony Family Center, Inc. is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex,

More information

Application for Employment

Application for Employment Application for Employment By completing and submitting this application for employment, I UNDERSTAND AND ACKNOWLEDGE THAT, UNLESS OTHERWISE DEFINED BY APPLICABLE LAW, ANY EMPLOYMENT RELATIONSHIP WITH

More information

Hill Country Transit District 4515 W. U.S. Hwy. 190 Belton, TX (254)

Hill Country Transit District 4515 W. U.S. Hwy. 190 Belton, TX (254) Hill Country Transit District 4515 W. U.S. Hwy. 190 Belton, TX 76513 (254) 933-3700 Thank you for applying with Hill Country Transit District (HCTD). This application is used as a screening tool to select

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT 4001 LEAVENWORTH STREET, OMAHA, NE 68105 An Equal Opportunity and Affirmative Action Employer APPLICATION FOR EMPLOYMENT Instructions: Please print all information and complete every part of this application.

More information

THE SALVATION ARMY LIBERTY PROGRAM 832 W. James M. Wood Blvd. Los Angeles, CA Spring College Book Scholarship

THE SALVATION ARMY LIBERTY PROGRAM 832 W. James M. Wood Blvd. Los Angeles, CA Spring College Book Scholarship THE SALVATION ARMY LIBERTY PROGRAM 832 W. James M. Wood Blvd. Los Angeles, CA 90015 2009 Spring College Book Scholarship Dear Veteran: The Salvation Army Liberty Program fully honors, respects, and thanks

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION As part of our normal procedure for processing applications, inquiries may be made concerning information on an applicant s work, driving, criminal and educational history. A pre-employment

More information

Mechanical-Electrical Technology MECHANICAL-ELECTRICAL TECHNOLOGY Sacramento City College Catalog

Mechanical-Electrical Technology MECHANICAL-ELECTRICAL TECHNOLOGY Sacramento City College Catalog Mechanical-Electrical Technology MET Degree: A.S. Mechanical-Electrical Technology Certificates of Achievement: Mechanical-Electrical Technology Mechanical Systems Technician Certificate: Commercial Building

More information

The Los Angeles Child Guidance Clinic

The Los Angeles Child Guidance Clinic The Los Angeles Child Guidance Clinic Today s Date: APPLICATION FOR EMPLOYMENT It is the policy of THE LOS ANGELES CHILD GUIDANCE CLINIC to provide equal employment opportunity to all qualified applicants

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT We are pleased that you are interested in employment with Bi-Mart Corporation. To be considered for possible employment, applications must be accompanied by a signed and dated

More information

Air Conditioning, Heating and. Refrigeration Technology. Refrigeration Technology (A35100) Degree Awarded. Admissions. Contact Information

Air Conditioning, Heating and. Refrigeration Technology. Refrigeration Technology (A35100) Degree Awarded. Admissions. Contact Information Technology Air Conditioning, Heating and Refrigeration Technology The Technology (AHR) curriculum provides the basic knowledge for developing the skills necessary to work with residential and light commercial

More information

Assistant Application

Assistant Application Assistant Application Thank you for your interest in joining our team! We look forward to learning about you! Please answer all questions completely and clearly, following all instructions. If an item

More information

RMHC Range Mental Health Center PO Box 1188 Virginia, MN 55792

RMHC Range Mental Health Center PO Box 1188 Virginia, MN 55792 RMHC Range Mental Health Center PO Box 1188 Virginia, MN 55792 EMPLOYMENT APPLICATION Range Mental Health Center is an Equal Opportunity/Affirmative Action Employer Complete this form in full. Do not write

More information

POSITION APPLYING FOR: Date of Application / /

POSITION APPLYING FOR: Date of Application / / Goodwill Industries-Knoxville, Inc. Application For Employment 5307 Kingston Pike, P.O. Box 11066 Knoxville, TN 37919 (865)588-8567 (865)588-0075 GWIK 4-02 Goodwill considers all applicants for employment

More information

Employment Application

Employment Application Employment Application Joint Emergency Communications Center 4529 Melrose Avenue Iowa City, Iowa 52246 We consider applicants for all positions without regard to race, color, religion, sex, national origin,

More information

Employment Application

Employment Application Employment Application Instructions We appreciate your interest in working for Meridian Community College. Please respond to all questions on the application and sign the release, which allows us to contact

More information

JM STAFFING PRELIM APPLICANT QUESTIONNAIRE

JM STAFFING PRELIM APPLICANT QUESTIONNAIRE PRELIM APPLICANT QUESTIONNAIRE It s about partnership. It s about people. It s about success. Applicant Name City, State Email Address 1. Are you telephone accessible? Cell Phone: Home Phone: 2. Do you

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT OREGON EPISCOPAL SCHOOL PRACTICES EQUAL EMPLOYMENT OPPORTUNITY IN ALL JOB OPENINGS. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO SEX,

More information

SIENA RESTAURANT EMPLOYMENT APPLICATION

SIENA RESTAURANT EMPLOYMENT APPLICATION SIENA RESTAURANT EMPLOYMENT APPLICATION SIENA Restaurant is committed to equal opportunity in employment. Consistent with this commitment, applicants are considered for employment and employees are treated

More information

CITY OF EXETER. PHONE EXETER, CA PHONE URL (559)

CITY OF EXETER. PHONE EXETER, CA PHONE URL (559) An Equal Opportunity Employer CITY OF EXETER STREET P.O. BOX 237 100 CITY NORTH STATE C STREET PHONE EXETER, CA 93221 PHONE URL (559)592-9244 www.cityofexeter.com (Refer to the job announcement or job

More information

City and County of San Francisco Employment Application

City and County of San Francisco Employment Application City and County of San Francisco Employment Application Last Name First Name MI Thank you for considering the City and County of San Francisco for employment. We appreciate that you have taken the time

More information

Employment Application

Employment Application West River Electric Association, Inc. Home Office Branch Office 1200 W Fourth Ave 3250 E Hwy 44 PO Box 412 PO Box 3486 Wall, SD 57790 Rapid City, SD 57709-3486 (605) 279-2135 1-888-279-2135 (605) 393-1500

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT An Affirmative Action/Equal Opportunity Employer APPLICATION FOR EMPLOYMENT Thank you for your interest in employment with the Housing Authority of the County of Monterey (HACM). The following directions

More information

POHNPEI STATE GOVERNMENT DEPARTMENT OF TREASURY ADMINISTRATION APPLICATION FOR EMPLOYMENT

POHNPEI STATE GOVERNMENT DEPARTMENT OF TREASURY ADMINISTRATION APPLICATION FOR EMPLOYMENT POHNPEI STATE GOVERNMENT DEPARTMENT OF TREASURY ADMINISTRATION APPLICATION FOR EMPLOYMENT GENERAL INSTRUCTIONS: DO NOT WRITE READ THE CERTIFICATE AT THE END OF THIS APPLICATION CLEARLY BEFORE FILLING IT

More information

ROOSTER PRODUCTS INTERNATIONAL Application for Employment

ROOSTER PRODUCTS INTERNATIONAL Application for Employment ROOSTER PRODUCTS INTERNATIONAL Application for Employment In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to

More information

Employment Application

Employment Application Employment Application Please complete all pages and return to North State Medical Transport 1240 Corporation Park Way Raleigh, North Carolina 27610 Office 919) 261-8911 Fax (919) 261-8991 1 Employment

More information

City of Homestead 790 North Homestead Boulevard Homestead, Florida Application for Employment

City of Homestead 790 North Homestead Boulevard Homestead, Florida Application for Employment City of Homestead 790 North Homestead Boulevard Homestead, Florida 33030 Application for Employment The City of Homestead is an Equal Opportunity Employer and considers applications for all positions without

More information

CITY OF WILKES-BARRE

CITY OF WILKES-BARRE CITY OF WILKES-BARRE Application For Employment We consider applicants for all positions without regard to to race, color, religion, sex, national origin, age, marital or or veteran status, the presence

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION CDAC Behavioral Healthcare, Inc. 3804 North Ninth Avenue Pensacola, Florida 32503 (850) 434-2724 CDAC Behavioral Healthcare, Inc. is an equal opportunity employer and in compliance

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT Bay Area Transportation Authority APPLICATION FOR EMPLOYMENT This application will be kept on file for six (6) month from the date of application. We consider applicants for all positions without regard

More information

THE GRAPEVINE RESTAURANT AND CATERING APPLICATION FOR EMPLOYMENT

THE GRAPEVINE RESTAURANT AND CATERING APPLICATION FOR EMPLOYMENT THE GRAPEVINE RESTAURANT AND CATERING APPLICATION FOR EMPLOYMENT This application for employment shall be considered active for a period of time not to exceed 45 days from the date of this application.

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT CHATFIELD PUBLIC SCHOOLS 205 UNION STREET N.E. CHATFIELD, MN 55923 APPLICATION FOR EMPLOYMENT Chatfield Public Schools is an equal opportunity employer, dedicated to a policy of nondiscrimination in employment

More information

Application for Employment

Application for Employment Application for Employment Please complete entire application and return to any Parr Lumber Company location. PARR LUMBER COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER COMMITTED TO A POLICY OF NON-DISCRIMINATION

More information

Instructions & Checklist Employment Application

Instructions & Checklist Employment Application Instructions & Checklist Employment Application [_] This package contains: (1) Instructions and Checklist for the Employment Application; (2) Employment Application. [_] This application makes assertions

More information

CITY OF SAUK RAPIDS Application for Employment

CITY OF SAUK RAPIDS Application for Employment CITY OF SAUK RAPIDS Application for Employment Return to: City of Sauk Rapids 250 Summit Ave. N. Sauk Rapids, MN 56379 Phone: 320.258.5300 We welcome you as an applicant to employment! The City of Sauk

More information

Application For Employment

Application For Employment Country Arbors Nursery, Inc. 1742 County Road 1400 rth Urbana, IL 61802 Application For Employment Federal, state and local laws prohibit discrimination in employment because of sex, age, race, color,

More information

Anne Arundel County Government Internship Application

Anne Arundel County Government Internship Application Anne Arundel County Government Internship Application Applications are accepted at the Office of Personnel Monday - Friday between the hours of 8:00 a.m. and 4:30 p.m. Instructions: Answer every question

More information

APPLICATION FORM INSTRUCTIONS

APPLICATION FORM INSTRUCTIONS APPLICATION FORM INSTRUCTIONS Thank you for your interest in employment at Community Memorial Hospital. Please complete the attached Employment Application using your computer. (All forms are computer

More information

APPLICATION FOR EMPLOYMENT "An Equal Opportunity Employer"

APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer THE BROWARD COUNTY CIRCUIT AND COUNTY COURTS OF THE SEVENTEENTH JUDICIAL CIRCUIT OF FLORIDA BROWARD COUNTY COURTHOUSE COURT ADMINISTRATION 201 S.E. 6th Street, Room 20140 Fort Lauderdale, FL 33301 (954)

More information