F.H. Furr Plumbing, Heating & Air Conditioning, Inc.

Application for Employment
 

Personal Information

NAME:


ADDRESS 1:


ADDRESS 2:


CITY:


STATE:


ZIP:


HOME PHONE:


ALTERNATE PHONE:


E-MAIL ADDRESS:


DATE AVAILABLE FOR EMPLOYMENT:


If under 18, can you furnish a work permit? :

HAVE YOU EVER BEEN EMPLOYED BY THIS COMPANY?

ARE YOU EMPLOYED NOW?

MAY WE CONTACT YOUR EMPLOYER?

ARE YOU PREVENTED FROM BECOMING EMPLOYED IN THIS COUNTRY?

POSITION APPLYED FOR:


SALARY REQUIREMENT (per hour):


DO YOU HAVE A VALID DRIVERS LICENSE:


LICENSE #:


POSITION STATUS DESIRED (per hour):
Full Time       Part Time

HAVE YOU EVER BEEN CONVICTED OF A FELONY (if yes please explain below):
No       Yes

If Yes, Please Explain: A YES answer will not bar you from consideration


F.H. Furr Plumbing, Heating and Air Conditioning, Inc is an equal opportunity employer. All applicants will be considered without regard to age, race, national origin, religion, gender, physical or mental disability, or other protected classifications in accordance with applicable federal and state equal employment opportunity laws. F.H. Furr will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential function of the job.

Education

(Please check the highest level completed in each category)
HIGH SCHOOL   
1       2       3       4

COLLEGE   
1       2       3       4
Course of Study


GRADUATE SCHOOL   
1       2       3       4
Course of Study


Summarize any special skills and qualification, volunteer activities, military experience, employment or other activities related to the job you are seeking.

References:
List 3 (three) non-relatives who are familiar with your qualifications & work history.

REFERENCE 1
Name:

Relationship:

Years Known:

Telephone:


REFERENCE 2
Name:

Relationship:

Years Known:

Telephone:


REFERENCE 3
Name:

Relationship:

Years Known:

Telephone:


Please note any other certifications or achievements.



Employment History

(Please begin with most current job and work back)

Employer:

Dates Employed:

Telephone Number:

Supervisor:

Job Title:

Salary:

Duties:

Reason For Leaving:



Employer:

Dates Employed:

Telephone Number:

Supervisor:

Job Title:

Salary:

Duties:

Reason For Leaving:



Employer:

Dates Employed:

Telephone Number:

Supervisor:

Job Title:

Salary:

Duties:

Reason For Leaving:




Motor Vehicle Record Policy


(Complete ONLY if applying for Field Work or Inside Service Management)

It is the policy of F.H. Furr Plumbing, Heating and Air Conditioning, Inc. to obtain and review the Motor Vehicle Record on each prospective driver before an offer for employment is extended. Management will review your Motor Vehicle Record Summary to ascertain whether the applicant/employee holds a valid license and meets the criteria set forth within the parameters of the company driving policy.

Please complete the following information:
NAME:

SSN (Social Security Number):

LICENSE #:

DATE OF BIRTH:

Your social security number and license number may or may not be the same.
****By the submission of this application, I give my consent for F.H. Furr Plumbing, Heating and Air Conditioning, Inc. to obtain and review a copy of my driving record.

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY.
I certify that all answers and statements I have made on this application (and any other supporting documents) are true and complete without omissions. By signing below, I authorize F.H. Furr Plumbing, Heating and Air Conditioning, Inc. to investigate all statements contained in this employment application as they deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications.

If hired, I will be responsible for familiarizing myself with all rules and regulations of F.H. Furr Plumbing, Heating and Air Conditioning, Inc. as they presently exist or are later modified. If hired, I also understand that my employment can be terminated, at the discretion of F.H Furr Plumbing, Heating and Air Conditioning, Inc. or at my option, without notice, at any time for any reason.

Further, I understand that I will be asked to submit to a Background Check and Drug Test. Failure to comply with these requirements will result in immediate disqualification of employment consideration.

I also understand that no representative of F.H. Furr Plumbing, Heating and Air Conditioning, Inc. has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment.

I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time. BY THE SUBMISSION OF THIS APPLICATION, YOU HAVE AGREED TO THE ABOVE STATEMENT.