• Employment Desired

  • MM slash DD slash YYYY
  • Numbers Only

  • Personal Information

  • Education Details

  • High School
  • College
  • Trade, Business or Correspondence School

  • GENERAL

  • EXCLUDE ORGANIZATIONS, THE NAME OF WHICH INDICATES THE RACE. CREED. SEX. AGE. MARITAL STATUS, COLOR OR NATION OF ORIGIN OF ITS MEMBERS.

  • FORMER EMPLOYERS

    (List Below Last Three Employers Starting With Last One First).
  • Date Month & Year(From & To)
  • Name and Adress of Employer
  • Salary
  • Position
  • Reason For Leaving

  • REFERENCES:

    Give the names of three persons not related to you, whom you have known at least one year.

  • I declare that the information I have provided in this employment application is complete and truthful to the best of my knowledge. I acknowledge and agree that omitting information or providing false information on this application would be grounds for refusal to hire or termination, if hired.

  • MM slash DD slash YYYY

  • By signing this application, I agree to the following:

    If I am employed by Countryside Heating & Cooling Solutions, I agree to conform to Countryside Heating & Cooling Solutions rules, regulations, and policies as described in the employee handbook and other documents. I understand that these rules and regulations may be modified, discarded, or amended by Countryside Heating & Cooling Solutions, at any time, without prior notice, at the sole discretion of Countryside Heating & Cooling Solutions management. I agree to conform to any changes In Countryside Heating & Cooling Solutions rules, regulations, and policies.

    If employed by Countryside Heating & Cooling Solutions, I acknowledge that my employment is completely "at will." My employment with Countryside Heating & Cooling Solutions may be terminated with or without cause, at any time, by me or by Countryside Heating & Cooling Solutions.