Roswell Heating and Air 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, or other legally protected status. We are an equal opportunity employer.
Date of Application:
Position(s) Applied For:

How Did You Learn About Us?
Advertisement		Employment Agency
Friend		Relative
Walk-In		Other

About You
Name:
Address:
City
State
Zip
Home Phone:
Day Phone:
E-Mail Address:

If you are under 18 years of age, can you provide required proof of your eligibility to work?			Yes No
Have you ever filed an application with us before?			Yes No
Have you ever been employed by us before?			Yes No
Are you currently employed?			Yes No
May we contact your present employer?			Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?			Yes No
On what date would you be available for work?

Are you available to work:
Full-Time	Part-Time	Shift Work	Temporary

Can you travel if a job requires it?			Yes No
Have you been convicted of a felony within the last 7 years?			Yes No
If you answered yes to the above question, please describe below:
Additional Skills
Describe below any specialized training, apprenticeship, skills and extra-curricular activities relevant to this position:
Military Training
Describe below any job-related training received in the United States military:

Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employment: Last job held
Employer:
Address:
Telephone:
Job Title:
Supervisor:
Reason for Leaving:
Dates Employed		From: To:
Job Duties:
Please describe your work performed:


Employment 2
Employer:
Address:
Telephone:
Job Title:
Supervisor:
Reason for Leaving:
Dates Employed		From: To:
Job Duties:
Please describe your work performed:

Please describe why you would like to work for Neese Jones Air


References
Name:
Address:
Telephone:

Name:
Address:
Telephone:

Name:
Address:
Telephone:
Applicant's Statement I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
By submitting this form I acknowledge that I have read and fully understand the "Applicant Statement" of this application.