Cook’s Heat and Air Conditioning is a thriving and expanding business. Please feel free to fill out the application below and click “SUBMIT”, to see how you can fit in at Cook’s.

First Name:

Last Name:

Middle Ini:

Email address:

Street address:

City:

State:

Zip:

Telephone:

How did you learn about us?

Type of employment:

Have you ever been employed by our company?

Please give a date:

If you are under 18, can you provide proof of your eligibility to work?

Are you currently employed?
If not, how long since your last employment?

May we contact your present employer?

Are you prevented from lawfully becoming employed in this country because of Visa?
(Proof of citizenship will be required upon employment)

On what date will you be available for work?

What are you able to work?
Full Time Part Time	Shift Work Temp

Are you currently on 'Layoff Status' and subject to recall?

Can you travel if the job requires it?

Have you ever been bonded?

Name of the bonding company:

Have you been convicted of a felony within the last 7 years?
(Conviction will not necessarily disqualify an applicant from employment)

Please explain:

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation
the activities involved in the job or occupation for which you have applied?

Education	Name	Course	Years	Degree
Elementary
High School
Undergraduate College
Graduate Professional
Other

Past Employment	Employer 1	Employer 2	Employer 3
Name
Address
Telephone
Job title
Supervisor
Dates employed (from/to):
Starting/Finishing salary:
Reson for leaving
Work performed

References	1	2
Name
Address
Telephone

Add any additional information here, that you believe will be helpful.You may be asked to provide hard copies of additional information,such as your resume or Employee Data Cards.

The applicant must read and agree with the following text. After reading, check the box at the bottom and press the submit button. I certify that I have read and understand all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test. I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason. I understand that misrepresentation or omission of information or facts may result in my rejection or dismissal. If hired, I agree to abide by all the rules and policies of the employer. This certifies that this application was completed by me, and that all entries on it and information it are true and complete to the best of my knowledge.