Total Comfort - Employment Opportunities

Total Comfort Heating and Air Conditioning

Applicant Information
All applicant’s must be able to pass a drug test and criminal background check
First Name:
Last Name:
Middle Name:
Date:
Address:
City:
State:
Zip Code:
Phone:
E-mail Address:
Date Available:
Social Security No.:
Desired Salary:
Position Applied for:

Are you a citizen of the United States? YES NO
If no, are you authorized to work in the U.S.? YES NO

Have you ever worked for this company? YES NO
If so, when?

Have you ever been convicted of a felony? YES NO
If yes, explain:
Education
High School:
Address:
From:	To:
Did you graduate? YES NO
Degree:

College:
Address:
From:	To:
Did you graduate? YES NO
Degree:

Other:
Address:
From:	To:
Did you graduate? YES NO
Degree:
Trade/Experience:
How long?
References Please list three professional references.
Full Name:
Relationship:
Company:
Phone:
Address:

Full Name:
Relationship:
Company:
Phone:
Address:

Full Name:
Relationship:
Company:
Phone:
Address:
Previous Employment
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:	To:
Reason for Leaving:
May we contact your previous supervisor for a reference? YES NO

Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:	To:
Reason for Leaving:
May we contact your previous supervisor for a reference? YES NO

Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:	To:
Reason for Leaving:
May we contact your previous supervisor for a reference? YES NO
Military Service
Branch:
From:	To:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:

Disclaimer and Signature

By clicking here I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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Financing provided by Wells Fargo Financial National Bank, a subsidiary of Wells Fargo Financial.
Wells Fargo Financial is an affiliate of Wells Fargo Bank, N.A.