McMurray Cooling & Heating, Inc. Online Application General Information Today's Date * MM DD YYYY Position Applying For Name * First Name Last Name Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Are you 18 years of age or older? * Yes No How did you learn about us? Advertisement, Employment Agency, Social Media, Friend or Relative (name), Other Have you ever completed an application for us before? * Yes No Have you ever been employed with us before? Yes No If yes, provide date and reason for leaving. Are you available to work Full Time Part Time Temporary Other What is your preference? Are there any hours, shifts or days you cannot or will not work? If yes, please explain. Can you drive a manual transmission? Yes No Are any relatives working here? If yes, provide name(s) and relationship to you. Do you know anyone who works here? If yes, provide name(s). Are you able to work overtime if required? Yes No Have you ever been convicted of a felony? If yes, explain date of conviction, location and offense convicted of. Education High School * Name & Location of School Number of Years Attended Diploma/Degree College/University Name & Location of School Number of Years Attended Course of Study Diploma/Degree Other Education/Training Number of Years Attended Course of Study Diploma/Degree Employment Experience Date MM DD YYYY Are you currently employed? * Yes No Present or Most Recent Employer * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Supervisor Name & Title Dates Employed Starting Position/Wage or Salary Leaving Position/Wage or Salary Reason for Leaving Description of Duties Previous Employer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Supervisor Name & Title Dates Employed Starting Position/Wage or Salary Leaving Position/Wage or Salary Reason for Leaving Description of Duties Previous Employer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Supervisor Name & Title Dates Employed Starting Position/Wage or Salary Leaving Position/Wage or Salary Reason for Leaving Description of Duties Additional Information Have you served in the U.S. Armed Forces? If yes, list dates of duty, rank, branch and skills acquired. Do you speak, read or write any foreign language(s)? If yes, please explain. Special Skills and Qualifications Describe any special training and skills acquired from educational training, employment or personal experience you feel may be helpful to us in considering your application. Additional Information List any additional information you feel may be helpful to us when considering your application. References Provide names, addresses and phone numbers of three professional references. Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Thank you!
