James River Air Employment Application

If any clause(s) contained herein is found to be unenforceable in a particular state, such clause(s) is deemed stricken.
James River Heating and Air is an Equal Opportunity Employer that employs, promotes and in all ways accords persons equal treatment without consideration to race, color, creed, sex, national origin or disability.
I understand, in completing this application for employment, an investigative report shall be made whereby information is obtained through personal interviews with third parties, such as family members, business associates, financial sources, academicians, friends, neighbors, or others with whom I am acquainted. This investigation will be conducted in accordance with the regulations of the Equal Opportunity Commission. I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of the information concerning the nature and scope of the investigation.
I understand my employment with James River Heating and Air Conditioning, should I be offered employment, will not begin until I have proven that I am authorized to work in the United States. In addition employment is deemed to be at the will of both the employer and employee and may be terminated by either party.
My submission of this application indicates that I have read and understand the preceding items and that I have made true and accurate statements of fact to the best of my knowledge on this application and any supplements to it. I further understand that any misrepresentation or falsification will be considered just cause for rejection of this application or dismissal from employment. I understand that I will be required to sign a Confidentiality Agreement relevant to the business operation and activities of my employer.

DESIRED POSITION INFORMATION
Position #1
Position #2
Salary Expected
PERSONAL INFORMATION
Full Name
Address (# & Street)
City, State, Zip
Home Phone
Cell Phone
E-Mail address
REFERRAL SOURCE
Source
Name
EDUCATION
*HIGH SCHOOL*
Name & Location
Grade Avg.
Grade Completed / Degree Received
*COLLEGE*
Name & Location
Grade Avg.
Grade Completed / Degree Received
*OTHER*
Name & Location
Grade Avg.
Grade Completed / Degree Received
Extracurricular activities, clubs, and/or other honors:
Other industry study, postgraduate education, seminars, military training, etc. which would be applicable to position applied for
MILITARY SERVICE
Branch:
Dates Served:
Highest Rank:
Job:
EMPLOYMENT HISTORY
*CURRENT OR MOST RECENT EMPLOYER*
Employer's Name
Address
Telephone
Employment Dates
Final Earnings (amount and whether per hours, year, etc.)
Reason for Leaving
YOUR JOB: Describe your exact function in the organization. Also specify significant accomplishments and noteworthy achievements
Your Manager (Name & Title) Note: They will not be contacted without your permission.
*2ND MOST RECENT EMPLOYER*
Employer's Name
Address
Telephone
Employment Dates
Final Earnings (amount and whether per hours, year, etc.)
Reason for Leaving
YOUR JOB: Describe your exact function in the organization. Also specify significant accomplishments and noteworthy achievements
Your Manager (Name & Title)
*3RD MOST RECENT EMPLOYER*
Employer's Name
Address
Telephone
Employment Dates
Final Earnings (amount and whether per hours, year, etc.)
Reason for Leaving
YOUR JOB: Describe your exact function in the organization. Also specify significant accomplishments and noteworthy achievements
Your Manager (Name & Title)
OTHER EXPERIENCE, SKILLS, QUALIFICATIONS
List below any other experience, skills, or qualifications, etc. which you feel qualify you for the position(s) you seek:
Professional Licenses and Certificates:
REFERENCES (That you know on a business basis)
*REFERENCE #1*
Name
Address
Association
Telephone
*REFERENCE #2*
Name
Address
Association
Telephone
*REFERENCE #3*
Name
Address
Association
Telephone
MISCELLANEOUS
List your recreational activities / interests:
What is your ultimate career goal?:
Are you willing to travel?	Yes No
If Yes, what % of the time?
Are you willing to relocate?	Yes No
Any preferences or geographic limitations?
Have you ever been convicted of a felony? (Conviction of a crime will not automatically disqualify you from employment)	Yes No
IF APPLYING FOR ADMINISTRATIVE/SUPPORT POSITION
Are you able to perform, with or without reasonable accomodation, office activites including:
Lifting and carrying objects weighing up to ten (10) pounds?	Yes No
Sitting for extended periods of time up to eight (8) hours?	Yes No
Operating office equipment such as telephones, copy machines, typewriters, and computer keyboards?	Yes No
Accessing filing cabinets?	Yes No
IF APPLYING FOR A SERVICE / CONSTRUCTION POSITION
Are you able to perform, with or without reasonable accomodation, manual service/construction activites including:
Lifting and carrying objects weighing up to forty (40) pounds?	Yes No
Reaching for, pushing and pulling construction materials and equipment?	Yes No
Climbing ladders and stairs?	Yes No
Traversing rough and uneven surfaces?	Yes No
Standing, balancing, walking, kneeling, crawling, stooping, twisting and squatting to access construction and equipment areas and to complete construction/service tasks?	Yes No
Responding to audio/visual warnings and alarms?	Yes No
Responding to verbal warnings and instructions?	Yes No
Communicating verbal warnings and instructions	Yes No
Do you have the means to travel to various construction/services sites?	Yes No
IMPORTANT NOTES - PLEASE READ
If any clause(s) contained herein is found to be unenforceable in a particular state, such clause(s) is deemed stricken. James River Heating and Air is an Equal Opportunity Employer that employs, promotes and in all ways accords persons equal treatment without consideration to race, color, creed, sex, national origin or disability. I understand, in completing this application for employment, an investigative report shall be made whereby information is obtained through personal interviews with third parties, such as family members, business associates, financial sources, academicians, friends, neighbors, or others with whom I am acquainted. This investigation will be conducted in accordance with the regulations of the Equal Opportunity Commission. I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of the information concerning the nature and scope of the investigation. I understand my employment with James River Heating and Air Conditioning, should I be offered employment, will not begin until I have proven that I am authorized to work in the United States. In addition employment is deemed to be at the will of both the employer and employee and may be terminated by either party. My submission of this application indicates that I have read and understand the preceding items and that I have made true and accurate statements of fact to the best of my knowledge on this application and any supplements to it. I further understand that any misrepresentation or falsification will be considered just cause for rejection of this application or dismissal from employment. I understand that I will be required to sign a Confidentiality Agreement relevant to the business operation and activities of my employer.



Newsletter Sign-up! Email:

Employment Application

DESIRED POSITION INFORMATION

PERSONAL INFORMATION

REFERRAL SOURCE

EDUCATION

MILITARY SERVICE

EMPLOYMENT HISTORY

OTHER EXPERIENCE, SKILLS, QUALIFICATIONS

REFERENCES (That you know on a business basis)

MISCELLANEOUS

IF APPLYING FOR ADMINISTRATIVE/SUPPORT POSITION

IF APPLYING FOR A SERVICE / CONSTRUCTION POSITION

IMPORTANT NOTES - PLEASE READ