Employment Application

Personal Information
Application Date:*
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone
Cell Phone*
Email
Enter Email Confirm Email
How did you hear about our company?

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Education
High School
Name of School Location # of Years Completed Major & Degree
College/University
Name of School Location # of Years Completed Major & Degree
Business or Trade School
Name of School Location # of Years Completed Major & Degree
Professional School
Name of School Location # of Years Completed Major & Degree

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Criminal History
Have you ever been convicted or charged with a felony or misdemeanor (except any minor traffic violations)?*
- Yes
- No
If yes, please list all charges & convictions?
Driver's License Information
Do you have a valid driver's license?*
- Yes
- No
Driver's License Number
State of Issue
Do you have reliable transportation to work (please be specific)?
Do you have a clean driving record?
- Yes
- No
List any moving violations and/or accidents from the last 3 years

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Military Service
Have you ever been in the Armed Forces?
- Yes
- No
Branch
Are you currently a member of the National Guard or Reserves?
- Yes
- No
Specialty
Date Entered
Date Discharged

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Certifications & Licenses
What 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 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.
Upload Resume
Accepted file types: pdf, doc, docx, txt.
Professional References
Please list 3-4 people you have worked with who can attest to your On-the-Job experience and performance.
Name Position Company Telephone Email Address
Did you complete this application yourself?
- Yes
- No
If not, who did?
Agreement
Please Read Carefully Before Signing
I 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*
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.
Name
This field is for validation purposes and should be left unchanged.

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Employment Application

Employment Application

Step 1 of 8

Personal Information

Employment Information

Education

Criminal History

Driver's License Information

Military Service

Work Experience

Employer 1

Employer 2

Employer 3

Employer 4

HVAC/R Industry Skills

Certifications & Licenses

Additional Information

Professional References

Agreement

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About Webb Heating & Air Conditioning

Specials

$25 Off Any Repair

$100 Off Complete System Purchase