HVAC EMPLOYMENT APPLICATION
PO Box 665
Wittensville KY, 41274
Where did you hear about us?:
Current Employer : ( if any )
KY HVAC Journeymans License :
Highest level of education completed :
Please list Name of Schools Attended :
Please list any degrees or certifications
earned at these Schools :
Have you ever been convicted of a felony or misdemeanor :
If Yes please explain and reference any relative information:
Drivers License Information
Do you have a valid drivers license:
Do you have reliable transportation to work ( be specific ):
Have you ever been in the armed forces? :
Are you a member of the national guard? :
HVAC Skills ( check all that apply )
What size HVAC equipment have you worked with ( check all that apply ) :
List manufacturers ( brand ) you are familiar working with :
List type of systems you are familiar working with
(i.e. Heatpump, Gas, Geothermal ) :
Which area do you have the most experience and knowledge in :
Which computer software are you experienced with :
What job functions have you performed ( select all that apply ) ? :
Please list your work experience for the last (5) five years
beginning with the most recent job you held.
Professional References : Please list 3 - 4 people you have worked with who can attest to your on the job Experience and Performance.
ADDITIONAL INFORMATION: Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying
Did you complete this application yourself? :
AGREEMENT ( please read carefully )
I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that
misleading or false statements will constitute sufficient cause for refusal to hire or termination of my employment.
I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Burchett’s Heating and Cooling Inc. creates and actual or implied contract of employment. I understand that, if I accept
employment with Burchett’s Heating and Cooling Inc., it will be on an at will basis. This means that either Burchett’s Heating and Cooling Inc. or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.
I agree to submit to drug and alcohol testing, if requested by Burchett’s Heating and Cooling Inc. I release Burchett’s Heating and Cooling Inc., and it’s employees, plus other persons or companies, from any and all liability arising out of or related in any
way to such testing.
I authorize Burchett’s Heating and Cooling Inc. to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release Burchett’s Heating and Cooling Inc. and
it’s employees from all liability arising from such an investigation.
Do you accept the terms of this agreement?