APPLICATION FOR EMPLOYMENT
Pre-Employment Questionnaire
An Equal Opportunity Employer

Personal Information:

Full Legal Name:

Social Security Number:

Present Address:

Previous Address:

Telephone Number:

Is this a Cell Phone Number?

Yes

No

Driver's License Number:

Is your Driver's License Number current in the State of Texas?

Yes

No

**Please discuss your driving record with your interviewer if you believe there might be a problem

Are you 18 years of age or older?

Yes

No

Date of Birth:

Are you a citizen of the United States?

Yes

No

Do you have documentation to prove your citizenship?

Desired Employment:

Position Desired:

Date You Can Start:

Are You Employed Now?

Can We Inquire of Your Present Employer?

Do You Have A Relative Working At Cole Air Conditioning?

Do You Have A Friend Working At Cole Air Conditioning?

Have You Ever Worked For Cole Air Conditioning; If Yes, When And Why Did You Leave?

Did You Graduate High School And Where 

Education:

Years of College And Where 

Years of College And Where 

Please explain any special skills, training, licenses, etc. which pertain to the job for which you are applying:

General:

Former Employers:

Name of Present or Last Employer:

Starting Date:

Ending Date:

Job Title:

Starting Hourly Salary:

Present Hourly or Final Salary:

Name of Supervisor:

Supervisor Telephone Number:

Description of Your Work:

Reason for Leaving:

Name of Next to Last Present or Last Employer:

Starting Date:

Ending Date:

Job Title:

Starting Hourly Salary:

Present Hourly or Final Salary:

Name of Supervisor:

Supervisor Telephone Number:

Description of Your Work:

Reason for Leaving:

Personal References:

Name:

Telephone:

Address:

Business:

Years Acquainted:

Name:

Telephone:

Address:

Business:

Years Acquainted:

Have you served in the Military?

Dates of Service

What Branch?

Have you been convicted of a felony in the last 20 years?

Please explain

**You may need to go into more detail with your interviewer

We need to inform you that we could run a criminal background check through the Texas Department of Public Safety.  We will not run this background check just because you apply.  It will only be run if we consider you for employment. If you suspect that something will come up that might present a problem, please discuss this with your interviewer.

We are complying with the Texas law that went into effect September of 2003 which restricts persons with certain felony and misdemeanor offenses from entering customer’s residences for a period up to 20 years.

We need to know ahead of time so we can establish whether we could work around your situation.  This is not meant to discriminate against you in any way.  Cole Air Conditioning Company adheres to all laws of the State of Texas and Federal Laws.

You might be asked to take a drug and alcohol test if you are considered for employment.

By signing this application, you are stating that all facts are true and complete to the best of your knowledge and understand that if employed, false statements on this application are grounds for immediate dismissal.

By signing this application, you are authorizing the investigation of all statements contained herein. You are giving permission for all references and previous employers to release all pertinent information and releasing Cole Air Conditioning Company from all liability for any damage that may result from utilization of such information. 

Signature of Applicant

Date Signed and Submitted

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