|
Directions to office
Hampton Roads Center Prkwy to Jefferson Ave. Turn left Gambol Street 1/2 mi. on right. |
|
Welcome to Rick Thomasson Heating & Air Conditioning |
Employment Application
Fill in and return to 10 Gambol St. Newport News, VA or fax to 757-595-7786
Fill in and return to 10 Gambol St. Newport News, VA or fax to 757-595-7786
Name______________________________Date______________
Address____________________________C/S/Z_____________
Home phone__________________Cell phone________________
D.O.B________________________#of Dependants___________
Marital Status____________ VA driver license#_______________
Desired pay_______ Start date _______ Position _____________
Previous Employers
Name Phone Pay Started Left Reason left
______________ _______ ____ ______ ______ ____________
______________ _______ ____ ______ ______ ____________
______________ _______ ____ ______ ______ ____________
General Information
Last year of education completed 8 9 10 11 12 college or trade school 1 2 3 4
Have you ever been convicted of a crime other than a minor traffic violation?
Have you been convicted of a moving violation in the last 5 years?
Have you ever had a DUI or DWI or had your license suspended?
Have you ever been fired or requested to resign from a job?
Do you have any physical problems that would restrict your job activities?
Have you ever missed work because of a job related injury?
List the name and contact info for an emergency contact.
Explain any yes answer here;
Address____________________________C/S/Z_____________
Home phone__________________Cell phone________________
D.O.B________________________#of Dependants___________
Marital Status____________ VA driver license#_______________
Desired pay_______ Start date _______ Position _____________
Previous Employers
Name Phone Pay Started Left Reason left
______________ _______ ____ ______ ______ ____________
______________ _______ ____ ______ ______ ____________
______________ _______ ____ ______ ______ ____________
General Information
Last year of education completed 8 9 10 11 12 college or trade school 1 2 3 4
Have you ever been convicted of a crime other than a minor traffic violation?
Have you been convicted of a moving violation in the last 5 years?
Have you ever had a DUI or DWI or had your license suspended?
Have you ever been fired or requested to resign from a job?
Do you have any physical problems that would restrict your job activities?
Have you ever missed work because of a job related injury?
List the name and contact info for an emergency contact.
Explain any yes answer here;
Your
appearance is important. Male employees are not permitted to wear visible
body piercing at work. Smoking
and use of tobacco products are strictly prohibited
in customer’s homes or businesses. Drug
screenings are given randomly as well
as anytime an employee is injured or involved in an accident. Failure
to take or pass
a drug test is grounds for immediate dismissal.
If hired your daily attendance is required.
You must call in by 7:30AM if late or absent.
I have read and agree with the above.
Signature_______________________________
Date_________________