Position Applying For: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Application Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

PERSONAL INFORMATION

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How Did You Hear About Us: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

EMPLOYMENT INFORMATION

Citizenship/Work Status: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Current Employer (if any): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Years of Work Experience Directly Related to the position you are applying for: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment Type Desired: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Desired Salary: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Desired Salary: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Other Compensation Desired: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

When are you available to start work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

EDUCATION

TYPE OF SCHOOL

NAME OF SCHOOL

LOCATION

# YEARS COMPLETED

DEGREE

Row {binding ItemNumber}

TYPE OF SCHOOL {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

NAME OF SCHOOL {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

LOCATION {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

# YEARS COMPLETED {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

DEGREE {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

CRIMINAL BACKGROUND

Have you ever been convicted of a felony or misdemeanor (except minor traffic violations)? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, please explain and attach any relevant documentation: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

DRIVERS LICENSE INFORMATION

Do you have a valid driver's license? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If yes, what type? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you have reliable transporation to work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Driver's License Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State of Issue: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please list any moving violations and/or accidents in the last 3 years: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

MILITARY SERVICE

Have you ever been in the armed forces? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Branch: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you currently a member of the national guard or reserves? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Speciality: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date Entered: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Discharge Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

WORK EXPERIENCE

Please list your work experience for the past 5 years, beginning with the most recent. Attach additional sheets if necesary, as well as your resume (if applicable).

Employer 1

Employer Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment Start Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment End Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer Phone Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Your Job Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Ending Salary: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for leaving: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Summary of responsibilities, skills, accolades and/or promotions: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May we contact this employer? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer 2

Employer Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment Start Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment End Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer Phone Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Your Job Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Ending Salary: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for leaving: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Summary of responsibilities, skills, accolades and/or promotions: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May we contact this employer? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer 3

Employer Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment Start Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment End Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer Phone Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Your Job Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Ending Salary: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for leaving: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Summary of responsibilities, skills, accolades and/or promotions: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May we contact this employer? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer 4

Employer Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment Start Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Supervisor Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employment End Date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Employer Phone Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Your Job Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Ending Salary: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reason for leaving: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Summary of responsibilities, skills, accolades and/or promotions: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May we contact this employer? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Resume Upload {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

HVAC/R Industry Skills Section Instructions: ONLY select the specific industry skills that you consider yourself to be VERY KNOWLEDGEABLE about, with a HIGH LEVEL OF COMPETENCY.

HVAC/R INDUSTRY SKILLS

What size of HVAC/R Equipment have you worked with? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

What Applications do you have experience with? (Select all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What types of Building Automation or Controls experience do you have? (Select all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What Job Functions have you performed? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

CERTIFICATIONS AND LICENSES

What Applications do you have experience with? (Select all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please list any other applicable licenses as well as State and License numbers for any licenses selected above: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

PROFESSIONAL REFERENCES

Please list 3-4 people you have WORKED with that can attest to your On-the-Job experience and performance.

Reference 1

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Position: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reference 2

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Position: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reference 3

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Position: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Reference 4

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Position: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

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 case 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 The Furnace Guy, Inc. creates an actual or implies contract of employment. I understand that if I accept employment with The Furnace Guy, Inc. it will be on an at will basis. This means that either The Furnace Guy, Inc. 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 The Furnace Guy, Inc. I release The Furnace Guy, Inc. and it’s employees, plus other persons or companies, from all liability arising out of or related in any way to such testing.

I authorize The Furnace Guy, Inc. to investigate information concerning my education, licensing, certifications, driving record, criminal history, employment experiences and all other aspects of my background relevant to my proposed employment. I release The Furnace Guy, Inc. and its employees from all liability arising from such investigations.

Applicant Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Print Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

The Furnace Guy, Inc. 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 depends solely on your qualifications