General Application

Position Applied For: *

Salary Requirement: *

Name *

First

Last

E-mail Address *

Home Phone

Cell Phone *

Work Phone

Present Address *

Address Line 1

Address Line 2

City

State

Zip Code

Permanent Address - if different from above

Address Line 1

Address Line 2

City

State

Zip Code

How did you learn about this job opening? *

List the names of any relatives who are currently employed at B&L Ott Heating & Air Cooling

Have you ever been employed by B&L Ott Heating and Air Conditioning? *

Type of employment desired (Indicate all that apply) *

Full-Time
Part-Time
Seasonal
Temporary

Employment History

THIS SECTION MUST BE COMPLETED IN FULL

List all work experience within the past 10 years, include military service and indicate any periods of unemployment. Begin with your most recent position and work backward in time. If you were self-employed or unemployed, please indicate all beginning and end dates and supply other pertinent information for all such periods.

From (Month-Year)

To (Month-Year)

Company Name

Job Title/Position

Location

Phone Number

Supervisor Name

Reason for Leaving

Starting annual pay:

Ending annual pay:

Other Compensation:

Description of Duties:

Do you have any other relevant experience?

Education

Please provide requested information in the space provided.

High School

High School Name

High School Address

Address Line 1

Address Line 2

City

State

Zip Code

Did you graduate High School?

High School GPA

College/University

College/University Name

College/University Address

Address Line 1

Address Line 2

City

State

Zip Code

Did you graduate College/University

College/University GPA

Graduate School, Technical, Business, or Other

Grad/Tech/Business School Name

Grad/Tech/Business School Address

Address Line 1

Address Line 2

City

State

Zip Code

Did you graduate Grad/Tech/Business School

Grad/Tech/Business School GPA

Work References

Please specify the names and contact information for 3 people who are familiar with your work:

Reference 1 Name

Reference 1 Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference 1 Occupation

Reference 1 Relationship

Reference 1 Phone Number

Reference 1 Email

Reference 1 Years Known

Reference 2 Name

Reference 2 Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference 2 Occupation

Reference 2 Relationship

Reference 2 Phone Number

Reference 2 Email

Reference 2 Years Known

Reference 3 Name

Reference 3 Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference 3 Occupation

Reference 3 Relationship

Reference 3 Phone Number

Reference 3 Email

Reference 3 Years Known

Work Authorization

This section must be completed in full.

Do you have authorization to work in the U.S.? *

If you are under 18 years of age, can you provide required proof of eligibility to work? *

Have you ever been convicted of a felony or a misdemeanor? *

Notice to all applicants: Certification, Consent, Release

Please read the information below carefully before submitting this Application for Employment.

I certify that all information provided by me in this application for employment and all representations contained on any resume submitted in connection with an application for employment with B&L Ott Heating & Air Conditioning are accurate in all respects and that I have fully and truthfully disclosed all requested information.

I understand that any false statements or omissions of information on an application for employment or on any resume I have submitted may result in either a decision not to hire me or, if already hired, to discharge me.

I authorize the agents of the B&L Ott Heating & Air Conditioning to verify with other persons, including my current and prior employers, all information and statements contained in this Application for Employment and or any resume I have submitted in connection with my Application. I also authorize B&L Ott Heating & Air Conditioning (if applicable to my job) to obtain a credit report, a copy of my driving record and to conduct a criminal history background check.

I release B&L Ott Heating & Air Conditioning and/or their agents and all persons and organizations supplying such information from any liability incurred in connection with the gathering or supplying such information and its accuracy.

I understand that employment with B&L Ott Heating & Air Conditioning is contingent upon my satisfactorily providing proof of eligibility for employment in the United States.

I further understand and agree that if I accept employment with B&L Ott Heating & Air Conditioning, that my employment will, at all times, be on an “at-will” basis. As such, both B&L Ott Heating & Air Conditioning and I will have the right to terminate my employment at any time and for any reason with or without notice.

Should I become an employee of B&L Ott Heating & Air Conditioning, I agree that, unless I first secure the written consent of the B&L Ott Heating & Air Conditioning that I will not disclose, use or disseminate any confidential information to which I have access to as an employee of B&L Ott Heating & Air Conditioning at any time.

I understand that confidential information includes any information disclosed to me or known by me as a result of employment with B&L Ott Heating & Air Conditioning not generally known to the trade or industry in which B&L Ott Heating & Air Conditioning is engaged, about products, processes, technologies, customers, clients, employees, services and strategies of the company, including, but not limited to purchasing, finance, computer software, computer hardware, automated systems, e-business, marketing, selling, sales volumes or strategies, name or significance of the company’s customers or clients or their employees or representatives, preferences, needs or requirements, purchasing histories, or other customer or client-specific information.

I have read and understand everything outlined in this Application for Employment, as attested by my consent below. *

I consent