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Online Employment Application

Personal Information:

Name:
Email Address:
Address:
City:
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Zip:
Primary Phone:
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Type of work desired:

Electrical
Insulation
HVAC, New Residential
HVAC, Existing Residential
HVAC, New Commercial
HVAC, Existing Commercial
Plumbing
Sales, Insulation
Sales, Electrical
Sales, HVAC
Sales, Plumbing
Sales, HVAC Maintenance
Service Technician
Sheet Metal/Shop

Experience and Qualifications:

List work experience:
Can you work independantly of supervision?
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Are you able to lead others?
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What do you feel are your strong areas?
What do you feel are your weak areas?
What can you offer home comfort?
Have you received one or more moving violations in the last five years?
Yes No
If yes, give a reason for the citation(s):
What is your desired wage?

Employment History:

Company Name:
Address:
Starting Date:
Ending Date:
Initial Pay:
Final Pay:
Reason for Leaving:
 
 
Company Name:
Address:
Starting Date:
Ending Date:
Initial Pay:
Final Pay:
Reason for Leaving:
 
 
Company Name:
Address:
Starting Date:
Ending Date:
Initial Pay:
Final Pay:
Reason for Leaving:

Training:

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Ending Date:
Certifications:
 
 
School Name:
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Ending Date:
Certifications:
 
 
School Name:
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Ending Date:
Certifications:

 
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Serving all of Lane County: Eugene, Springfield - Roseburg, Salem, Florence
2730 Roosevelt Blvd. | Eugene, Or 97402 | Ph: 541-345-2838 | Fx: 541-302-3070
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