704-527-7401
|
service@acostainc.com
704-527-7401
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HVAC Employment in Charlotte, NC
acosta inc
2019-08-06T13:20:05+00:00
Employment Application Form
We would love to hear from you! Please fill out this form and we will get in touch with you shortly.
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Applicant Information
Name
*
First
Last
Primary Phone
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Address
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Street Address
City
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California
Colorado
Connecticut
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District of Columbia
Florida
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Maryland
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South Dakota
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Texas
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Washington
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Secondary Phone
Email
*
Best Time to Reach You
*
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Additional Information
Are you 18 years of age or older?
*
Yes
No
Are you a United States Citizen?
*
Yes
No
If you are under 18, please state your age:
If not, please choose one of the following:
I am authorized to work in this Country for any employer
I am authorized to work in this Country for my present employer
I require sponsorship to work in this Country
Do you have a valid driver's license?
*
Yes
No
Please describe your Military experience, if any:
Our company does DMV, pre-employment criminal background checks & drug testing. Is there anything we need to be made aware of?
*
Yes
No
If yes, please describe:
Position & Availability
Which position(s) are you interested in?
Installation Technician
Service/Maintenance Technician
Residencial HVAC Sales
Commercial HVAC Sales
Sheet Metal Fabricator
Electrician
Plumber
Call Center / Dispatch
Other
What is your salary expectation?
Per:
Year
Month
Week
Hour
Are you avaiable to work:
Full Time
Part Time
Date you can start:
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Experience
Are you an Installation Technician?
Yes
No
Service/Maintenance Technician?
Yes
No
Licensed Electrician?
Yes
No
Plumber?
Yes
No
Do you have Residential or Commercial HVAC Sales experience?
Yes
No
Do you have Call Center / Dispatch experience?
Yes
No
If yes, please describe:
If yes, please describe:
Current Employment
Are you currently employed?
Yes
No
If so, may we contact your supervisor?
Yes
No
The following information will assist us in doing reference checks. Please provide details of your work history in the spaces that follow. Fill in these fields carefully and completely. Begin with your current job and work back.
Company Name:
Current Job Title:
Starting wage/salary
Starting Date:
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Ending wage/salary
Ending Date:
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Job Duties:
Supervisor's Name:
Supervisor's Phone:
Previous Employer #1
Company Name:
Job Title:
Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Starting wage/salary
Starting Date:
Month
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Ending wage/salary
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Supervisor's Name:
Supervisor's Phone:
Reason for leaving:
Previous Employer #2
Company Name:
Job Title:
Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Starting wage/salary
Starting Date:
Month
1
2
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10
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12
Day
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Ending wage/salary
Ending Date:
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Supervisor's Name:
Supervisor's Phone:
Reason for leaving:
Previous Employer #3
Company Name:
Job Title:
Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Starting wage/salary
Starting Date:
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
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Ending wage/salary
Ending Date:
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Supervisor's Name:
Supervisor's Phone:
Reason for leaving:
Please explain any gaps in your employment history:
Education
Highest level of education?
*
High School graduate
Some collage
Associate's degree
Bachelor's degree
Master's degree
Are you EPA certified?
Yes
No
Are you NATE certified?
Yes
No
Please list any other certifications you have received that may be applicable to the position for which you are applying:
Special Skills
Please list any languages other than English in which you are fluent:
Please give us details about your computer skills (type of software, level of proficiency, etc.):
Personal Reference #1
Name
First
Last
Phone
Relationship
Years Known
Personal Reference #2
Name
First
Last
Phone
Relationship
Years Known
Personal Reference #3
Name
First
Last
Phone
Relationship
Years Known
Referral Sources
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If referred by a staffing or employment agency, please enter the company name here:
If referred by one of our employees or a customer, please enter that person's name here:
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