HVAC Service Technician - Onalaska

Personal

Name *

First Middle Last

Current Address *

Position Applied For

Salary Expected

How did you learn about this employment opportunity?

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Employee Referral

Advertisement or employee name who referred you

Telephone Number *

Your Email *

Have you ever been employed with us before?

No

Yes

Are you currently employed?

Yes

No

On what date would you be available for work?
* MM slash DD slash YYYY

Are you available to work: *

Full Time

Part Time

Temporary

Can you travel for work if necessary?

Yes

No

Do you currently hold a valid driver’s license?

Yes

No

Are you legally eligible to work in the United States?

Yes

No

Are you 18 years of age or older?

Yes

No

Are you willing to take drug tests at the Company’s request?

Yes

No

Other names known as (i.e. maiden name, etc.):

High School

School Name/Location

Last Year Completed

Yes

No

Technical/Trade School

School Name/Location

Last Year Completed

Yes

No

Degree/Major

Universtiy/College

School Name/Location

Last Year Completed

Yes

No

Degree/Major

Have you ever served in the U.S. military? *

Yes

What was the length of your military service, if applicable?

What type of training and work experience did you receive while in the military, if applicable?

Employer (1)

Address

Phone

Position Title and Duties

Starting Date MM slash DD slash YYYY

Ending Date MM slash DD slash YYYY

Starting Pay

Ending Pay

Why did you leave this job?

May we contact this employer?

Yes

No

Employer (2)

Address

Phone

Position Title and Duties

Starting Date MM slash DD slash YYYY

Ending Date MM slash DD slash YYYY

Starting Pay

Ending Pay

Why did you leave this job?

May we contact this employer?

Yes

No

List the names, addresses and telephone numbers of 2 references who are NOT related to you.

Reference Name (1)

Phone Number

Relationship

Reference Name (2)

Phone Number

Relationship

Reference Name (3)

Phone Number

Relationship

Schneider Heating and Air Conditioning is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or veteran status. Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process.

I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company (Schneider Heating and Air Conditioning). If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change. I authorize the Company to conduct employment, driving record and criminal background checks about me and am aware that information resulting from these checks will become part of my employment record.

I authorize the Company to speak with my personal and professional acquaintances to gather information about me and my performance. I authorize all former employers and references to provide any information about me to the Company, and release them of all liabilities and damages for providing this information. I authorize the Company to verify the accuracy of the information within this application.

I also authorize the release of my educational transcripts to the Company for education verification purposes. If I become employed by the Company, I understand that the employment relationship will be “at will,” and that the “at will” status may not change at any time unless specifically approved, in writing, by the Company owners.

I certify that the information provided in this application is true, to the best of my knowledge.