Employment Application

It is the policy of KARNES & STANLEY HEATING & AIR, INC. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability, or veteran status.

Skills

List any skills that may be useful for the job you are seeking. Enter the number of years of experience.

Skill

Year(s) of Experience

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Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment.

Employer Name

Supervisor Name

Address

Job Duties

Reason for Leaving

Dates of Employment

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Education and Training

College / University

Name and Address

Did you receive a degree?

Yes

If YES, degree(s) received:

High School or GED

Name and Address

Other Training (graduate, technical, vocational)

Please indicate any current professional licenses or certifications that you hold

Awards, Honors, Special Achievements

References

List any two non-relatives who would be willing to provide a reference for you.

Name *

Address *

Phone Number *

Relationship to you *

Name *

Address *

Phone Number *

Relationship to you *

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer.

CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize KARNES & STANLEY HEATING & AIR, INC. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the company’s President, the employment relationship will be “at-will”. In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of KARNES & STANLEY HEATING & AIR, INC., except in a specific written contract of employment signed on behalf of the company’s President, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.

Applicant Signature

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Date *

Parent/Guardian Signature (Required if applicant is under age 18)

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Date

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Date Received

Driver's License

Hire Date

Personal Information