HVAC Employment Application

Currently hiring the following positions:
Service Technicians (residential and commercial)
Installation Technicians and Helpers (residential and commercial)
Sheet Metal Workers

Piedmont Sheet Metal Co., Inc.
801 N. Broad Street
W-S, NC 27101
336-724-7439 (Office)
336-724-2804 (Fax)

HVAC EMPLOYMENT APPLICATION

(Please Print clearly and complete all pages)
Position(s) applying for:

Date:

Personal Information

Full Name:

Address:

City:

State:

Zip:

Home:

Cell Phone:

Email Address:

How did you hear about Piedmont Sheet Metal?

Employment Information

Citizenship/Work Status:
US CitizenGreen Card HolderUS Work Permit/Visa
Current Employer (if any):

May we contact your current employer?
YesNo
Level of experience relevant to the position you are applying for:
Entry Level (less than 2 years)Mid-Career (2-4 years)Tenured Career (5 + plus years)
Employment Type Desired:
FULL-TIMEPART TIME

Desired Compensation:

When are you available to start work?

Education

High School:

Graduated:
YesNo

If yes, year graduated:

College/University:

Graduated:
YesNo

If yes, year graduated:

Degree attained:

Business/Trade School:

Graduated:
YesNo

If yes, year graduated:

Degree attained:

Driver’s License Information

DO YOU HAVE A VALID DRIVER’S LICENSE?
YesNo

Do you have reliable transportation to work?
YesNo

Driver’s license number:

State of issue:

Expiration Date:

Do you have a clean driving record?
YesNo

If not, please explain:

Have you ever been convicted of a felony or misdemeanor (except any minor traffic violations) ?
YesNo

If yes, please explain:

Work Experience

Please list your work experience for the past 5 years beginning with your most recent job held. Attach any additional sheets if necessary. Attach resume if applicable.

Name of Employer:

Address of Business:

Phone Number:

Name of last supervisor:

Dates of employment:
From:

To:

Pay or salary:
Start:

Final:

Job title:

Reason for leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements or promotions while working at this company:

May we contact this employer?
YesNo

Name of Employer:

Address of Business:

Phone Number:

Name of last supervisor:

Dates of employment:
From:

To:

Pay or salary:
Start:

Final:

Job title:

Reason for leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements or promotions while working at this company:

May we contact this employer?
YesNo

Name of Employer:

Address of Business:

Phone Number:

Job title: Reason for leaving (be specific): List the jobs you held, duties performed, skills used or learned, advancements or promotions while working at this company: May we contact this employer? YesNo

Name of last supervisor:

Dates of employment:
From:

To:

Pay or salary:
Start:

Final:

Name of Employer:

Address of Business:

Phone Number:

Name of last supervisor:

Dates of employment:
From:

To:

Pay or salary:
Start:

Final:

Job title: Reason for leaving (be specific): List the jobs you held, duties performed, skills used or learned, advancements or promotions while working at this company: May we contact this employer? YesNo

Certifications and Licenses

Do you have any HVAC certifications or licenses (if so, please list below)?

Professional References: Please list 3-4 people you have worked with that can attest to your ON THE JOB EXPERIENCE and PERFORMANCE.

Name: Position: Company: Telephone:	Name: Position: Company: Telephone:
Name: Position: Company: Telephone:	Name: Position: Company: Telephone:

Additional Information: Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position you are applying for.

Consent for Drug and Alcohol Screening

If you are offered and accept employment with Piedmont Sheet Metal you may work with and be around machinery and equipment that can cause injury to yourself and others. In the interest of safety for all concerned, you will be required to take a urine test for drug and/or alcohol use as a condition of employment.

Applicant	Date
Witness	Date