Career Opportunities | Tyler, TX | Air Conditioning

Employment Desired

Position*

Date You Can Start*

Salary Desired*

Are You Employed Now?

If So May We Inquire Of Your Present Employer?

Ever Applied To This Company Before?

Where Did You Apply?

When Did You Apply?

Referred By

Education Details

Grammar School

High School

College

Trade, Business or Correspondence School

Personal Information

Name*

First Last

Present Address*

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

Permanent Address

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

Phone*

Are You 18 Years Or Older?*

Yes
No

Are You Prevented From Lawfully Becoming Employed In This Country Because Of Visa Or Immigration Status*

Yes
No

GENERAL

Subjects of Special Study or Research Work

Special Skills

Activities: (Civic, Athletic Etc.)

EXCLUDE ORGANIZATIONS, THE NAME OF WHICH INDICATES THE RACE. CREED. SEX. AGE. MARITAL STATUS, COLOR OR NATION OF ORIGIN OF ITS MEMBERS.

U. S Military or Naval Service

Rank

Present Membership in National Guard or Reserves

FORMER EMPLOYERS

(List Below Last Three Employers Starting With Last One First).

Date Month & Year(From & To)

Name and Adress of Employer

Salary

Position

Reason For Leaving

Which Of these Jobs Did You Like Best?

What Did You Like Most About This Job?

REFERENCES:

Give the names of three persons not related to you, whom you have known at least one year.

The Following Statement Applies in: MARYLAND & MASSACHUSETTS. [Fill in name of state.;

It is Unlawful in the state of

TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY.

Signature

IN CASE OF EMERGENCY NOTIFY

Name

Address

Phone No

*I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.

IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE. AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANYS OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IPS PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.

Date

Signature

This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting employment discrimination. This Application for Employment Form is sold for general use throughout the United States. TOPS assumes no responsibility for the inclusion in said form of any questions which, when asked by the Employer of the Job Applicant, may violate State and/or Federal Law.