Employment Application Posted by HVAC Specialist November 28th, 2017 Employment Application Step 1 of 8 12% Personal InformationApplication Date:* Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneWork PhoneCell Phone*Email Enter Email Confirm Email How did you hear about our company? Employment InformationCitizenship/Work Status*U.S. CitizenGreen Card HolderU.S. Work Permit/VisaCurrent Employer(if any)Years of Work Experience directly related to the position you are applying for:Employment Type DesiredFull-TimePart-TimePositions Applying For:*Service DepartmentInstallation DepartmentOfficeSalesDesired Compensation Hourly Annual Other Compensation DesiredWhen are you available to start work?* Date Format: MM slash DD slash YYYY EducationHigh SchoolName of SchoolLocation# of Years CompletedMajor & Degree College/UniversityName of SchoolLocation# of Years CompletedMajor & Degree Business or Trade SchoolName of SchoolLocation# of Years CompletedMajor & Degree Professional SchoolName of SchoolLocation# of Years CompletedMajor & Degree Criminal HistoryHave you ever been convicted or charged with a felony or misdemeanor (except any minor traffic violations)?*YesNoIf yes, please list all charges & convictions?Driver's License InformationDo you have a valid driver's license?*YesNoDriver's License NumberState of IssueAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificDo you have reliable transportation to work (please be specific)?Do you have a clean driving record?YesNoList any moving violations and/or accidents from the last 3 years Military ServiceHave you ever been in the Armed Forces?YesNoBranchAre you currently a member of the National Guard or Reserves?YesNoSpecialtyDate Entered Date Format: MM slash DD slash YYYY Date Discharged Date Format: MM slash DD slash YYYY Work ExperiencePlease list your work experience for the past 5 years beginning with your most recent job. If you were self-employed, give firm name. Attach resume if applicable (located at end of application).Employer 1Name of EmployerEmployer PhoneEmployer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of last supervisorEmployment Date Start Date Format: MM slash DD slash YYYY Employment Date End Date Format: MM slash DD slash YYYY Your last job titlePay or SalarySpecific reason for leavingList the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.May we contact this employer?YesNo Add another employer? Employer 2Name of EmployerEmployer PhoneEmployer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of last supervisorEmployment Date Start Date Format: MM slash DD slash YYYY Employment Date End Date Format: MM slash DD slash YYYY Your last job titlePay or SalarySpecific reason for leavingList the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.May we contact this employer?YesNo Add another employer? Employer 3Name of EmployerEmployer PhoneEmployer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of last supervisorEmployment Date Start Date Format: MM slash DD slash YYYY Employment Date End Date Format: MM slash DD slash YYYY Your last job titlePay or SalarySpecific reason for leavingList the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.May we contact this employer?YesNo Add another employer? Employer 4Name of EmployerEmployer PhoneEmployer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of last supervisorEmployment Date Start Date Format: MM slash DD slash YYYY Employment Date End Date Format: MM slash DD slash YYYY Your last job titlePay or SalarySpecific reason for leavingList the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.May we contact this employer?YesNo HVAC/R Industry SkillsONLY select the specific industry skills that you consider yourself to be very knowledgeable about, with a high level of competency.What size of HVAC/R equipment have you worked with? 1 - 5 tons 5 - 20 tons 20 - 50 tons 50 - 100 tons What Manufacturers Equipment have you worked with?(Select all that apply) American Standard Bryant Carrier Coleman Daikin Gibson Honeywell Johnson Controls Kelvinator Lennox Liebert Luxaire Maytag McQuay Rheem Ruud Tappan Toshiba Trane Westinghouse York What types of Equipment or Systems have you worked with?(Select all that apply) Air Dist. Equipment Air Handlers Boilers Centrifugal Chilled Water Chillers Cooling Towers Dehumidification Dry Systems Exhaust Systems Forced Air Systems Furnance Gas Geo Thermal Ground Source Heat Pumps Heat Pumps Humidification HVAC Equipment Hydronic In-Floor Oil Package Units Portable HVAC Propane Puron Radiant Heating Recipricating Refrigeration Rooftop Units Split Systems Steam Trailer Units Variable Speed Equipment VAV Ventilation VRF VRV What types of Parts and Accessories have you worked with?(Select all that apply) Coils Compressors Condensers Dampers Diffusers Duct Work Electric Motors Fans Grills HVAC Parts Registers Sheet Metal Sound Attenuators Vacuum Pumps Valves What Applications do you have experience with?(Select all that apply) Clean Rooms Commercial Government Projects Grocery Stores Industrial Institutional Light Commercial Multi-Family Residential Restaurants What Job Functions have you performed?(Select all that apply) Advertising (broadcast) Advertising (online) Advertising (print) Brazing Budgeting Business Development Call Center Management Carpentry Change Orders Client Interaction Client/Account Management Cold Calling Commission Development Computer Literature Consultative Selling Contract Negotiations Contract/Proposal Preparation Conventions/Trade Shows Customer Service Data Entry Department Forecasting Design/Build Designer Develop Relationships/Alliances Dispatcher Drafting Dratfsman Driving Drywall Repair Electrical Energy Energy Management Engineer/BSME Engineer/PE Estimating Estimator Expense Reports Fabrication Facility Manager Field Supervisor Forecasting Foreman General Construction General Manager Goal Setting Inspector Installation Installation - New Homes Installer Instructor Journeyman Lead Generation Lead Management Leadership Load Calculations Maintenance Maintenance - Apartment Manager Manufacturer Rep Manufacturing Material Handler NATE Certification Negotiate Contracts P&L Pipefitter Piping Plan/Specs Planning Plumbing Policy/Procedure Development Prepare Financial Reports Presentation Preparation Preventive Maintenance Product Demonstration Product Design Product Testing Production Project Management Project Scheduling Proposal Development Proposal Presentation Prospecting/Lead Generation Punch List Purchase Orders Purchasing Quality Assurance/Control Reading Blueprints Relationship Management Repair Report Generation Reporting Research Retro-Fit Sales Sales - In Home Sales - Residential Sales - Retail Sales - Wholesale Sales Management, Area Sales Manager Sales Training Development Service Service Agreements Service Manager Sheet Metal Worker Shipping Coordinator Shipping/Receiving Start-up Steamfitter Superintendent Supervision Take-offs Technician Telemarketing - Inbound Telemarketing - Outbound Territory Management Test & Balance Thermodynamics Trainer Troubleshooting Vendor Coordinator Welder Welding What Computer related experience do you have?(Select all that apply) AutoCad Estimation (software) Manual J MS Excel MS Office MS Powerpoint MS Word Wrightsoft Certifications & LicensesWhat Certifications & Licenses do you have?(Select all that apply) Certified Energy Manager HVAC Excellence - A/C HVAC Excellence - Commercial A/C HVAC Excellence - Electrical Heat HVAC Excellence - Gas Heat HVAC Excellence - Geothermal HVAC Excellence - Heat Pumps HVAC Excellence - Hydronics I HVAC Excellence - Hydronics II HVAC Excellence - Oil Heat ICE - Commercial Refrigeration Journeyman HVAC License Master HVAC License Master Plumber License NATE - A/C NATE - Air Distribution NATE - Gas Heat NATE - Heat Pumps Nate - Oil Heating Include State & License numbers for any licenses selected above, if applicable:Other Licenses & Certification held:Additional InformationUse 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.Upload ResumeAccepted file types: pdf, doc, docx, txt.Professional ReferencesPlease list 3-4 people you have worked with who can attest to your On-the-Job experience and performance.NamePositionCompanyTelephoneEmail Address Did you complete this application yourself?YesNoIf not, who did?AgreementPlease Read Carefully Before SigningI certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment. I understand that neither the acceptance of this application nor the subsequent entry into any type of employment. I understand that, if I accept employment with Webb Heating & Air Conditioning, it will be on an at-will basis. This meant that either Webb Heating & Air Conditioning or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I agree to submit to drug and alcohol testing, if requested by Webb Heating & Air Conditioning. I release Webb Heating & Air Conditioning, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize Webb Heating & Air Conditioning to investigate information concerning my education, licensing, certifications, driving record, criminal history, employment experiences and all other aspects of my background relevant to my proposed employment. I release Webb Heating & Air Conditioning and its employees from all liability arising from such investigation.Print Name*Date* Date Format: MM slash DD slash YYYY Webb Heating & Air Conditioning is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Webb Heating & Air Conditioning depends solely on your qualifications.NameThis field is for validation purposes and should be left unchanged.
