Plumbing & HVAC Repair | A-1 American Plumbing, Heating & Air Conditioning

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Plumber and HVAC Virginia Beach, Norfolk, Newport News

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Employee Application

A-1 American Services Employment Application for Plumbers and HVAC Techs in the Virginia Beach and Newport News VA

A-1 American Services is an equal opportunity employer and adheres to the principles and practices outlined in the civil Rights Act of 1964, which prohibits discrimination in employment on the basis of sex, race, religion, or national origin and Public Law 90-202 which prohibits discrimination based on age.

This application will be given every consideration, but its receipt does not imply that the applicant will gain employment. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered. This questionnaire is a pre-employment application only.

Personal Information

If You have a Resume, Upload Your Resume Here:

Upload File

Date

Name:

Have You Ever Worked Under a Different Name?

Social Security Number

Email:

Phone:

Are you a citizen of the U.S. or do you have the legal right to be employed in the U.S?

Yes

Have you ever been convicted of any crime (other than a minor traffic violation?)

Yes

If yes, state the offense. Location, Datation and Disposition.

List and Describe any School or Specialized Training

Who is your in case of Emergency contact?

Drivers License: Number, State, Type

Position Applied For:

Salary Desired

Are you currently employed?

Yes

May we Contact Your Present Employer?

Yes

Please tell us about your former employment:

Do you type?

Yes

How many words per minute?

Do you take shorthand?

Yes

Have you had any computer experience or training?

Yes

Please explain what computer or word processing training you have had:

Use this space to tell us why you would be a good fit for the A-1 American family. Please list any additional skills or abilities.

Name of Most Recent Employer

Date Employed

Address, City, State

Title

Duties

Name & Title of Supervisor

Pay

Ending Pay

Reason for Leaving

Name of Next Most Recent Employer

Dates Employed

Address, City, State

Title

Duties

Name & Title of Supervisor

Starting Pay

Ending Pay

Reason for Leaving

Please list 3 references. Include full name, address, phone number, and relationship.

I certify that the answers given by me to the forgoing questions and statements are true and correct without any intentional omissions of consequences of any kind whatsoever. I understand that any misleading or incorrect statements may render this application void and if employed would be cause for my termination. I further agree that you shall not be liable in any respect if employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools, or persons names above to give any information regarding my employment character and qualifications and hereby release said companies, schools, or persons from liability for any damage for issuing this information regarding my employment. I certify that all statements and answers to questions about my abilities are true and were made without reservation. Further, I agree to expressly waive all provisions of law prhibiting any physical person, hospital or other institution from disclosingto us any information regarding treatment rendered now and in the future. I further understand that the taking of a drug test and physical are a condition of employment and refusal to take such tests when requested will be subject to my termination. I also understand that no person is authorized to enter into any written or verbal employment contract on behalf of A-1 American without the express written consent of the President. I understand my employment is at will. Entering my name below is my signature.

Date

Thank you for your interest in employment at A-1 American Services!

We will get back to you as soon as possible.

The A-1 American Team

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