Employment Application Paid Training • Competitive Salary • 401k & Benefits My Aire Heating and Cooling Employment Application Step 1/4: Leave this field blank Please complete all sections of this application form. Attach your resume and any relevant certifications. Incomplete applications may not be considered. Contact Info (optional) 235 E Ponce de Leon Ave Suite 210Decatur, GA 30030(770) 818-6096 Position you are applying for Customer Service Representative (CSR)/Dispatcher HVAC Service Technician HVAC Installer PERSONAL INFORMATION First name Last name Please Enter Your Full Address Email Home Phone Work Phone (optional) Cell Phone How did you hear about our company? EMPLOYMENT INFORMATION Citizenship/Work Status: U.S. Citizen Green Card Holder U.S. Work Permit/Visa Canadian Citizen Canadian Work Permit/Visa Will you now or in the future require sponsorship for employment visa status? Yes No Please Explain Years of Work Experience directly related to the position you are applying for: Desired Compensation (Hourly or Annual): Employment Type Desired: Full-Time Part-Time Are You Available To Work Full-Time? Yes No Can You Work Weekends or Overtime If Required? Yes No When are you available to start work? EDUCATION NAME OF HIGH SCHOOL: LOCATION: YEAR GRADUATED TECHNICAL SCHOOL/COLLEGE NAME: (optional) LOCATION: (optional) YEAR GRADUATED (optional) DEGREE OR CERTIFICATION (optional) Additional Training or Certifications (e.g., EPA Section 608): (optional) CRIMINAL HISTORY Criminal History HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR (except any minor traffic violations)? Yes No Please explain and attach any relevant documentation. Please describe: Attach any relevant documentation. (optional) Choose file Uploading… (0%) Browse Oops. A file with this name has already been uploaded. Oops. This file type isn’t allowed. This file size is too big. DRIVERS LICENSE INFORMATION DO YOU HAVE A VALID DRIVER’S LICENSE? Yes No Driver’s license number: State of Issue: Type of License: Operator Commercial (CDL) Chauffeur Do you have a clean driving record? Yes No Do you have reliable transportation to work (please be specific)? List any Moving Violations and/or Accidents from the last 3 years: (optional) WORK EXPERIENCE Please list your work experience for the past 5 years beginning with your most recent job. If you were self-employed, give firm name. Attach additional sheets if necessary. Attach Resume if applicable. (optional) Upload Resume (optional) Choose file Uploading… (0%) Browse Oops. A file with this name has already been uploaded. Oops. This file type isn’t allowed. This file size is too big. Name of Current Employer: (optional) Phone (optional) Address with city/state/zip: (optional) Name of supervisor: (optional) Your job title: (optional) Start Date: (optional) End Date: (optional) Pay or salary: (optional) Specific reason for leaving: (optional) List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. (optional) May we contact this employer? (optional) Yes No Name of Previous Employer: (optional) Phone (optional) Address with city/state/zip: (optional) Name of last supervisor: (optional) Your last job title: (optional) Start Date: (optional) End Date: (optional) Pay or salary: (optional) Specific reason for leaving: (optional) List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. (optional) May we contact this employer? (optional) Yes No HVAC/TECHNICAL SKILLS Please indicate your experience and proficiency in the following areas: (optional) Do you have experience diagnosing and repairing HVAC systems? Yes No Do you have familiarity with HVAC tools and equipment? Yes No Do you have knowledge of HVAC safety protocols? Yes No Do you have customer service and communication skills? Yes No CERTIFICATIONS & LICENSES What Certifications & Licenses do you have? (Select all that apply) (optional) (optional) Master HVAC License Master Plumber License NATE - A/C NATE - Air Distribution NATE - Gas Heat NATE - Heat Pumps NATE - Oil Heating Oil Burner License Registered Professional Engineer Include State and License Numbers for any licenses selected above, if applicable: (optional) Other Licenses & Certifications held: (optional) 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. (optional) PROFESSIONAL REFERENCES Please list any supervisors/managers who can attest to your On-the-Job experience and performance. (optional) Name (optional) Position (optional) Company (optional) Phone (optional) Email (optional) Name (optional) Position: (optional) Company (optional) Phone (optional) Email (optional) Name (optional) Position: (optional) Company (optional) Phone (optional) Email (optional) Did you complete this application yourself? Yes No If not, who did? AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING) I confirm that the information provided in this application is true and complete to the best of my knowledge. I understand that any falsified or misleading statements may result in the rejection of my application or, if hired, the termination of my employment. I acknowledge that submitting this application and potentially entering an employment relationship with My Aire Heating and Cooling does not create a contract of employment, either expressed or implied. I further understand that, if I am hired, my employment will be on an at-will basis, meaning that My Aire Heating and Cooling may end the employment relationship at any time, with or without cause or notice. I consent to undergo drug and alcohol testing if requested by My Aire Heating and Cooling. I release My Aire Heating and Cooling, its employees, and any other parties involved from all liability relating to or arising from such testing. I authorize My Aire Heating and Cooling to verify the details of my education, certifications, licenses, driving record, criminal background, previous employment, and any other relevant information regarding my suitability for employment. I release My Aire Heating and Cooling and its employees from any liability associated with conducting these background checks. My Aire Heating and Cooling is an equal opportunity employer, committed to making hiring decisions without discrimination based on race, color, religion, gender, sexual orientation, national origin, citizenship, age, disability, or any other legally protected status. Employment decisions are based solely on qualifications and merit. Signature Start drawing Clear Done Start over I agree that my typed name below will be as valid as a handwritten signature to the extent allowed by local law. I Agree Type Your Full Name Here. Today's Date Next