Tech App Form


Personal Information

First Name

Last Name

Address

City

State

Zip

Home Phone

Work Phone

Cell Phone

Social Security Number

Date of Birth

Email Address: (if available)

How did you hear about Prestige Heating & Air?

Employment Information

Citizenship/Work Status

Current Employer: (if any)

Level of Experience relevant to the position you are applying for

Employment Type desired

Desired Compensation

Other Compensation Desired

When are you available to work?

Education
TYPE OF SCHOOL NAME OF SCHOOL LOCATION NUMBER OF YEARS COMPLETED MAJOR & DEGREE
High School
College/University
Bus. or Trade School
Professional School
Criminal History

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR (except any minor traffic violations)?

If yes, please explain and attach any relevant documentation.

Drivers License Information

DO YOU HAVE A VALID DRIVER'S LICENSE?

Driver's license number

State of Issue

Do you have a clean driving record?

Expiration date

If not, explain

Military Service

HAVE YOU EVER BEEN IN THE ARMED FORCES?

Branch

ARE YOU NOW A MEMBER OF THE NATIONAL GUARD?

Specialty

Date Entered

Discharge Date

Work Experience

Please list your work experience for the past 5 years beginning with your most recent job held. If you were self-employed, give firm name, Attach additional sheets if necessary, Attach Resume if applicable.

Name of employer

Phone number

Address with city/state/zip

Name of last supervisor

Employment dates

Pay or salary

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact this employer?

Name of employer

Phone number

Address with city/state/zip

Name of last supervisor

Employment dates

Pay or salary

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact this employer?
Military Service

HVAC/R Industry Skills (Select all that apply)

What Manufacturers equipment have you worked with? (Select ALL that apply)

What types of Equipment or Systems have you worked with? (Select ALL that apply)

HVAC/R Industry Skills Continued

What types of Parts and Accessories have you worked with? (Select ALL that apply)

Applications: (Select ALL that apply)

What types of Building automation or controls experience do you have?

What Job Functions have you performed? (Select ALL that apply)

What Computer related experience do you have? (Select ALL that apply)

What Certifications & Licenses do you have? (Select ALL that apply)

Other

Additional Information

Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

If you have a resume, please include it with this application

Professional References

Please list 3-4 people you have worked with that can attest to your ON THE JOB EXPERIENCE and PERFORMANCE.

Name

Position

Company

Telephone

Name

Position

Company

Telephone

Name

Position

Company

Telephone

Name

Position

Company

Telephone

Did you complete this application yourself

If not, who did?

AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)

I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment. I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Prestige Heating & Air creates an actual or implied contract of employment. I understand that, if I accept employment with Prestige Heating & Air, it will be on an at- will basis. This means that either Prestige Heating & Air or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I agree to submit to drug and alcohol testing, if requested by Prestige Heating & Air. I release Prestige Heating & Air, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize Prestige Heating & Air to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release Heating & Air, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize Prestige Heating & Air to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release Prestige Heating & Air and its employees from all liability arising from such investigation. Prestige Heating & Air is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Prestige Heating & Air depends solely on your qualifications.

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Signature Certificate
Document name: Tech App Form
lock iconUnique Document ID: ec88d5c3be48dc6962f1068340122725050e0f65
Timestamp Audit
March 23, 2019 4:00 am EDTTech App Form Uploaded by Jeff Polutta - jeffpolutta@prestigeheatingandair.com IP 174.193.138.50
Audit trial Qr code
This audit trail report provides a detailed record of the online activity and events recorded for this document.
https://prestigeheatingandair.com/
Audit Trail Serial# 724fdbc02895eb8c39b7023662bbfab4