BRYANT HEATING & COOLING APPLICATION FOR EMPL OYMENT

Transcription

1 BRYANT HEATING & COOLING APPLICATION FOR EMPL OYMENT Bryant Heating and Cooling is an equal opportunity employer that does not discriminate in hiring or employment on the basis of race, religion, color, sex, age, national origin, veteran status, disability, or sexual orientation. No information on this application will be used for such discrimination. Last Name First Name Middle Initial Present Address City State Zip Previous Address City State Zip Telephone Number (Home) Telephone Number (Mobile) Address Are you 18 years old or older? Circle One Yes No Are you legally authorized to work in the U.S.? Circle One. Yes No We are an Equal Opportunity Employer. All employees must be able to provide verification of eligibility to work in the U.S. Position Desired Date Available Desired Salary How were you referred to us? List friends or relatives employed by Bryant Heating and Cooling

2 Job Availability (check all that you are available to work) Full Time Part Time Regular Project Saturdays Days Evenings List any specific hours unavailable for work: EDUCATION Education Name of School City and State Degree Graduated/GED Yes No High School Business/Trade School College Graduate Study Certifications/Licenses Classes and Other Skills Other (please explain) EMPLOYMENT HISTORY Please list your last three employers, including military, beginning with the most recent.

3

4

5 PROFESSIONAL REFERENCES Please list three persons, who are not related to you, who can provide professional references. Name Business Telephone Years Acquainted AUTHORIZATION If you have any questions regarding this statement, ask Human Resources before signing. I hereby certify that the information provided by me herein is true and complete. I acknowledge that any false or misleading information I provide herein or in an employment interview will be grounds to deny my application, or if discovered later, for immediate dismissal from employment. I authorize any use of the information contained herein by the employer for the purpose of verifying it. I authorize past employers, references and other persons to provide all information necessary to respond to any questions asked concerning my ability, character, and previous employment record. I authorize the Company to conduct a criminal background investigation. I release and forever discharge all such entities, persons, and the employer from any and all liability arising from furnishing or requesting information about me. I understand and agree that if hired, my employment will be at the will of both employer and myself, and will be terminable by either, without notice, at anytime for any reason, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the forgoing express language are valid unless they are in writing and signed by the employer s president. Signature Date