Education

References

Please list three professional references

Individual #1

Individual #2

Individual #3

Previous Employment

Last Seven Years (Order By Most Recent)

Employment #1

Employment #2

Military Service

Employment Information

Background Data

Our company may conduct a criminal records investigation. A conviction on your record may not necessarily bar you from employment with our company.

Knowledge and Skills

Please rate your skills and knowledge from 1-3 in each of the following areas: (1 is no experience and 3 is expert – not all areas may apply)

Additional Information, Disclaimer and Signature

Persons with Disabilities/Vietnam Veterans, Disabled Veterans and Other Covered Veterans

The Americans with Disabilities Act (ADA) and Section 503 of the Rehabilitation Act of 1973 prohibit employment discrimination against qualified individuals with disabilities. Section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended by the Veterans Employment Opportunity Act of 1998, eliminates barriers of employment for veterans. Our companies willingly comply with these laws.

Application Information

Please read the following statements and ask for clarification, if needed, before you sign this application. Applicants will be considered regardless of race, color, religion, gender, national origin, citizenship status, sexual orientation, age, marital status, veteran status, or the presence of a medical condition or disability.

I certify that my answers are true and complete to the best of my knowledge. Further, I understand that if hired, I agree to abide by all company policies and procedures, as outlined in the company handbook.

If this application leads to employment, I further understand that false or misleading information in my application or interview may result in my release, regardless of how or when it was discovered. I authorize Masciantonio Heating & Cooling, and/or it’s subsidiaries to investigate and verify all statements and information contained in this application and during my interview (if applicable). I release all liability from anyone supplying such information, as well as Masciantonio Heating & Cooling, and it’s subsidiaries from any and all liability that might result from conducting an investigation.

If hired, I further understand that:

My employment would be at will, and that I could be terminated at any time, with or without cause or notice at the option of the employer or myself. This employment application will become part of the terms and conditions of employment.