Careers

Step 1 of 7 – Applicant Information

APPLICANT INFORMATION

Position interested

Name*

Email*

Phone*

Best Time to Call

Address*

Street Address City State ZIP Code

CONDITIONS AND AVAILABILITY

If you are under 18 years of age, can you provide required proof of your eligibility to work?*

Yes

Have you ever filed an application with us before?*

Yes

Have you ever been employed with us before?*

Yes

Position and Dates

Do any of your friends or relatives, other than a spouse, work here?*

Yes

Name and Relationship

Are you currently employed?*

Yes

May we contact your present employer?*

Yes

Date Available for Work

MM slash DD slash YYYY

Are you available to work full time?

First Shift (8:00AM-5:00PM)

Second Shift(12:00PM-9:00PM)

Part Time

Mornings

Afternoons

Evenings

Temporary

Dates Available

Are you currently on lay-off status and subject to recall?*

Yes

Can you travel if a job requires it?*

Yes

Have you ever been convicted of a felony?*

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Proof of citizenship or immigration status will be required upon employment.)*

Yes

EDUCATION

Elementary School Name/Location

High School Name/Location/Grades Completed/Diploma

Undergraduate College Name/Location/Course of Study/Years Completed/Degree

Graduate or Professional Name/Location/Course of Study/Years Completed/Degree

Other (Specify)

Describe any specialized training, apprenticeship, skills and extra-curricular activities.

Describe any job related training received in the United States military.

EMPLOYMENT HISTORY

Employer 1

Address

Phone Number

Job Title

Supervisor

Reason for Leaving

Dates (From – To)

Hourly/Salary Starting

Hourly/Salary Final

Work Duties

Employer 2

Address

Phone Number

Job Title

Supervisor

Reason for Leaving

Dates (From – To)

Hourly/Salary Starting

Hourly/Salary Final

Employer 3

Address

Phone Number

Job Title

Supervisor

Reason for Leaving

Dates (From – To)

Hourly/Salary Starting

Hourly/Salary Final

Work Duties

List professional, trade, business or civic activities and offices held. You may exclude membership which would gender, race, religion, national origin, age, ancestry, disability or other protected status.

ADDITIONAL INFORMATION

Other Qualifications

Specialized Skills

Terminal

PC/MAC

Spreadsheet

Word-Processing

Typewriter

Shorthand

Production/Mobile Machinery

Other

Typewriter WPM

Shorthand WPM

Other Skills

State any additional information you feel may be helpful to us in considering your application.

Can you perform the essential functions of the job, for which you are applying, with or without a reasonable accommodation? (Do not answer this question unless you have been informed about the requirements of the job for which you are applying.)

Yes

References

Name 1

First Last

Phone 1

Address 1

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name 2

First Last

Phone 2

Address 2

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name 3

First Last

Phone 3

Address 3

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

We consider applications for all positions without regard to race, color, religion, creed, national origin, age, sexual orientation, citizenship status, genetic information or any other legally protected status.

Statement

Statement*

I certify that answers given herein are true and complete. 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 Brackett Heating & Air Conditioning, Inc., may discharge Employee at any time with or without cause. 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 Brackett Heating & Air Conditioning, Inc. By clicking this checkbox and submitting this application, I understand and affirm the entire contents of this statement

I understand and affirm this statement.

Comments

This field is for validation purposes and should be left unchanged.

24-hour

Careers

Employment Application

APPLICANT INFORMATION

CONDITIONS AND AVAILABILITY

EDUCATION

EMPLOYMENT HISTORY

ADDITIONAL INFORMATION

References

Statement