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When we service your in AL, your satifaction means the world to us.

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Employment Inquiry

EMPLOYMENT INQUIRY FORM

Thank you for your interest in obtaining a position with Custom Heat & Air. The following is a simple inquiry form to see if it is in your interest to take the time to come in and fill out our normal employment application and potentially interview for possible employment.

All information submitted will be held in strict confidence. No phone calls will be made to your current or past employers without first talking to you. Custom Heat & Air is a drug-free workplace and will conduct a background check on all employee prospects before hiring.

Contact Information

*First Name:

*Last Name:

Middle Initial:

Address

*Address:

*City:

*State/Province:

*Postal Code:

*Home Phone Number: Enter a valid phone number.

Personal Cell Phone Number: Enter a valid phone number.

*Email address: Enter a valid email address.

*Confirm email address: Enter a valid email address.

Do you have a valid Driver's License?

Yes

No

*Type of Work Desired: This field is required.

*Days / Hours Available: This field is required.

Have you applied with us before?:

If yes, when?:

Education & Certifications

High School

Number of years attended:

Did you Graduate?

Yes

No

Name and Location of School:

Subjects Studied:

College

Number of years attended:

Did you Graduate?

Yes

No

Name and Location of School:

Subjects Studied:

Trade or Business School

Number of years attended:

Did you Graduate?

Yes

No

Name and Location of School:

Subjects Studied:

Current Certifications and Licenses:

Have you ever been convicted of a felony?

If yes, please provide details:

Employment History

Company Name:

Start Date:

End Date:

Starting pay rate:

Staring pay type

Hourly

Monthly

Annually

Ending pay rate:

Ending pay type

Hourly

Monthly

Annually

Duties:

Reason for Leaving:

Name of Supervisor:

Supervisor's Title:

Supervisor's Phone Number or Reason not to contact:

Company Name:

Start Date:

End Date:

Starting pay rate:

Staring pay type

Hourly

Monthly

Annually

Ending pay rate:

Ending pay type

Hourly

Monthly

Annually

Duties:

Reason for Leaving:

Name of Supervisor:

Supervisor's Title:

Supervisor's Phone Number or Reason not to contact:

Company Name:

Start Date:

End Date:

Starting pay rate:

Staring pay type

Hourly

Monthly

Annually

Ending pay rate:

Ending pay type

Hourly

Monthly

Annually

Duties:

Reason for Leaving:

Name of Supervisor:

Supervisor's Title:

Supervisor's Phone Number or Reason not to contact:

References

Reference 1 Name:

Reference 1 Phone Number: Enter a valid phone number.

Reference 2 Name:

Reference 2 Phone Number: Enter a valid phone number.

Reference 3 Name:

Reference 3 Phone Number: Enter a valid phone number.

Additional Skills

Other Skills:

Special Training:

Upload your resume here:

Submit

By submitting, you agree to receive text message communication from us per our Terms and Conditions and Privacy Policy, which state that we will never share your personal information or spam you.

We have received your employment inquiry. We will reach out to you as soon as possible.

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