Application for Employment

This application must be completed in it’s entirety before any offer of employment may be considered.

All information provided on this application will be checked. However, your present employer will not be contacted at your request. Failure to include important information may prohibit you from employment.

Today's Date

Last Name *

First Name *

Middle Initial *

Street Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

What position(s) are you applying for? *

Type of Employment *

Full Time

Part Time

Desired Annual Salary *

Hours Avaliable to Work *

Are you legally eligible to work in The United States? *

Yes

If hired, can you furnish proof of eligibility to work in the U.S *

Yes

If hired, can you furnish proof you are 18 years of age or older? *

Yes

Do you have a valid drivers license? *

Yes

License Number *

State *

Qualifications

Are you operator qualified (OQ)? *

Yes

Operator Qualifications *

Are you a licensed plumber? *

Yes

License # *

State *

Select those that apply *

Apprentice

Journeyman

Contractor

Are you a licensed HVAC technician? *

Yes

License # *

State *

Please select any that apply. *

Apprentice

Journeyman

Contractor

Do you currently hold any Refrigeration licenses or certifications? *

Yes

License # *

State *

Do you currently hold any other licenses/certifications? *

Yes

State *

License # *

Do you currently hold any other Technical or Trade license? *

Yes

License Information *

How were you referred to Circle B?

If employee reference, please list employee name.

Education

Name of high school, address, years attended, year of graduation.

Are you a High School Graduate?

Yes

Did you attend college?

Yes

Did you graduate from college?

Yes

What degree(s) did you receive?

College Information

Please list college Name, Address, and Phone Number

Have you attended any trade schools or received additional education?

Yes

Other Education

Have you recived any special awards or achivements?

Yes

Awards / Achievements

Terms and Conditions

As a requirement of employment with Circle B, all service personnel or other employees who may drive for the company, must have a valid drivers license, show evidence of a responsible driving history, and provide proof of insure-ability.

By typing your name below you are digitally signing this document.

Terms and Conditions Please Read Carefully

In the event of my employment by you, I agree to the following;

I agree to complete an employee information sheet and furnish supplemental personal, family, health, or other information.

Yes

I agree to submit to such physical examinations by your designated physicians as you may require and further agree that such physician may disclose to you his full and complete findings relative to my physical condition.

Yes

As a condition of my employment I must meet physical requirements required by you.

Yes

I will not disclose at anytime, or authorize the disclosure of any secret, confidential information,or knowledge concerning any sales, customer information, invention, matter or thing of which I may become aware relating to your business.

Yes, I agree

No, I disagree

I hereby understand and acknowledge that any employment relationship is of “at will” nature, which means, the employee may resign at any time with or without cause, and the company may terminate the employee at anytime and for any reason.

Yes, I agree

No, I disagree

It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

Yes

I understand that providing false information on this application may bar me from employment, or if discovered post–higher, cause my termination from an employment.

Yes

By typing your name below you are digitally signing this document.

Additional Terms of Employment

I understand, authorize and agree that as routine processing of this application an investigation may be made in compliance with the Fair Credit Reporting Act concerning my character, general reputation, and all statements contained in this application.

I agree to cooperate in such investigation and release from liability all persons and corporations requesting and supplying such information in good faith.

Yes

I authorize and request any school or Police Dept to furnish you with any and all information in its possession regarding me in the connection with this application for employment.

Yes

I am willing that a photocopy of this authorization be accepted with the same authority as the original.

Yes

List all driving and traffic citations for the last three years.

I agree that my employment with Circle B is contingent upon verification of my criminal and/or driving records and an investigation may be made concerning such records if I am considered for employment.

Yes

I agree to cooperate in said investegation and release from all liability all persons, corporations, and entities requesting and supplying such information in good faith.

Yes

I agree to submit to a urinalysis (drug screen) as part of my application for employment.

Yes

I understand that either refusal to submit a urinalysis or failure to qualify according to the minimum standards established by the company for this screen will disqualify me from further consideration for employment.

Yes

I understand that any misstatement or omission of material facts in this application will be cause for rejection of this application or, in the event of employment, cause for my dismissal.

Yes

I agree to furnish proof of age by birth certificate, upon request.

Yes

By typing your name below you are digitally signing this document.

In completing and submittimg this application, I hereby affirm that the forgoing statements are true and correct.

Yes

Security Code

Please type the letters you see in the space provided.

Blog Categories

Application for Employment

This application must be completed in it’s entirety before any offer of employment may be considered.

Qualifications

Education

Terms and Conditions

Terms and Conditions Please Read Carefully

In the event of my employment by you, I agree to the following;

Additional Terms of Employment

I understand, authorize and agree that as routine processing of this application an investigation may be made in compliance with the Fair Credit Reporting Act concerning my character, general reputation, and all statements contained in this application.