Online Employment Application Fields marked with * are required. Personal Information First Name* Middle Name Last Name* Mailing/Street Address* City* State/Zip* Phone* Email* Date of Birth* Position Applying For* Experienced HVAC Service Technician Date Available* Desired Salary* Type of Employment Desired Full TimePart TimeSummer TimeAs Needed Are you 21 or older? YesNo Our insurance requires drivers of company trucks to be at least 21 years old. Are you employed now? YesNo Are you on layoff and subject to recall? YesNo Have you ever been convicted of a crime? YesNo Have you ever been involuntarily discharged from a job? YesNo Have you ever had a driver's license denied, suspended, or revoked? YesNo Have you been involved in a traffic accident in the last 3 years? YesNo If yes to any of the above, explain and give dates: Please identify skills you believe you have that are relative to the job for which you are applying: Education High School* Address* From* To*: Did you graduate?* Diploma* College Address From To: Did you graduate? Diploma Other Address From To: Did you graduate? Diploma References Give names of persons we may contact to verify your qualifications for the position. Please exclude relatives. Reference 1 Name* Relationship* Company* Phone* Address Email Reference 2 Name Relationship Company Phone Address Email Reference 3 Name Relationship Company Phone Address Email Past Employer Employer 1 Company Phone Address Supervisor Job Title From To Responsibilities: Reason for Leaving: Starting Pay Ending Pay May we contact your previous supervisor for a reference? YesNo If no, please explain why Employer 2 Company Phone Address Supervisor Job Title From To Responsibilities: Reason for Leaving: Starting Pay Ending Pay May we contact your previous supervisor for a reference? YesNo If no, please explain why Employer 3 Company Phone Address Supervisor Job Title From To Responsibilities: Reason for Leaving: Starting Pay Ending Pay May we contact your previous supervisor for a reference? YesNo If no, please explain why Military Service Branch From To Rank at discharge Type of discharge If other than honorable, explain Pre-Employment Drug Screening Farley’s A/C & Heating requires applicants to pass a pre-employment drug screening, including testing for marijuana (THC), as a condition of employment due to the safety requirements of our work. Can you meet this requirement? (required) YesNo Acknowledgement and Authorization I certify that all answers given herein are true and complete to the best of my knowledge.* If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.* Upload Your Resume (PDF, DOCX) Upload EPA / NATE Card (Optional) Δ
