PRE-EMPLOYMENT APPLICATION

Choice Heating & Cooling is an equal opportunity employer and adheres to the principles and practices outlined in the Civil Rights Act of 1964, which prohibits discrimination in employment on the basis of race, sex, religion, or national origin and Public Law 90-202, which prohibits discrimination based on age.

This application will be given every consideration, but its receipt does not imply that the applicant will be employed.  Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.  This questionnaire is a pre-employment application only.

  • PERSONAL

  • NAME:
  • DRIVERS LICENSE:
  • Who should be contact in case of an emergency?
  • EMPLOYMENT DESIRED

  • MILITARY

  • PERSONAL/HEALTH

  • EDUCATION

  • WORK HISTORY

    List names of employer in consecutive order with last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, provide the firm name and supply business references.




  • Special Skills

  • REFERENCES

    Please provide three (3) references, NOT relatives or former employers.
  • AFFIDAVIT

  • I certify that the answers given by me to the foregoing questions and statements are true and correct without any intentional omissions of consequence of any kind whatsoever. I understand that any misleading or incorrect statements may render this application voice and, if employed, would be cause for my termination. I further agree that Choice Heating & Cooling shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools, and persons named above to give any information regarding my employment, character, and qualifications and hereby release said companies, schools, and persons from all liability for any damage for issuing this information. I certify that all statements and answers to questions about my abilities are true and were made without reservations. Further, I agree to expressly waive all provisions of law prohibiting any physician, person, hospital, or other institution from disclosing to Choice Heating & Cooling any information regarding treatment rendered now and in the future. I further understand that the taking of a drug test and physical exam are a condition of employment and refusal to take such tests when requested will subject me to termination. I also understand that no person is authorized to enter into any written or verbal employment contract on behalf of Choice Heating & Cooling without the express written consent of the President of the company. I understand my employment is at will. I further understand that I will be given an "employee handbook" outlining Choice Heating & Cooling's rules and regulations.

If you prefer to submit a physical application, please print a copy using the link below:

Choice Heating & Cooling Employment Application