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Please fill out the application below
Applicant Information
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Position applying for:
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HVAC Journeyman
HVAC Apprentice
OFFICE ASSISTANT
How did you hear about this position?
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What days are you available for work?
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
If needed, are you available to work overtime?
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Yes
No
On what date can you start working if you are hired?
*
Do you have reliable transportation to and from work?
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Yes
No
Hourly Pay Rate Desired:
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Personal Information
Are you 18 years of age or older?
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Yes
No
Are you a U.S. citizen or approved to work in the United States?
*
Yes
No
What documents can you provide as proof of citizenship or legal status?
*
Do you have reliable transportation to and from work?
*
Yes
No
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
*
Yes
No
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
*
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The
date of the offense, the nature of the offense, including any significant details that affect the description of the
event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may,
however, be considered.)
Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying:
*
(Note: Kemph Heating & AC complies with the ADA and considers reasonable accommodation measures that may
be necessary for eligible applicants/employees to perform essential functions. )
Education and Training
High School - Name
*
Location (City, State)
*
Year Graduated
*
Degree Earned
*
College/University - Name
*
Location (City, State)
*
Year Graduated
*
Degree Earned
*
Vocational School/Specialized Training - Name
*
Location (City, State)
*
Year Graduated
*
Degree Earned
*
Military:
Are you a member of the Armed Services?
*
Yes
No
What was your military rank when discharged?
*
What was your military rank when discharged?
*
How many years did you serve in the military?
*
What military skills do you possess that would be an asset for this position?
*
Previous Employment
Employer Name
*
Job Title
*
Supervisor Name:
*
Employer Address
*
City, State and Zip Code
*
Employer Telephone
*
Dates Employed
*
Reason for leaving
*
Employer Name
*
Job Title
*
Supervisor Name
*
Employer Address
*
City, State, and Zip Code
*
Employer Telephone
*
Dates Employed
*
Reason for leaving
*
References
Please provide 2 professional references below:
Reference
*
Contact Number
*
Reference
*
Contact Number
*
AT-WILL EMPLOYMENT
The relationship between you and the Kemph Heating & AC is referred to as "employment at will." This means
that your employment can be terminated at any time for any reason, with or without cause, with or without
notice, by you or the Kemph Heating & AC. No representative of Kemph Heating & AC has authority to enter into
any agreement contrary to the foregoing "employment at will" relationship. You understand that your
employment is "at will," and that you acknowledge that no oral or written statements or representations
regarding your employment can alter your at-will employment status.
E-Sign (Type your name)
*
Date
*
Please put any additional information you would like here
*
Submit
Home
Services
Financing
Specials
Comfort Club
Contact Us
Commercial HVAC
FAQ
News
Free Furnace
kemphcares
