Application: Hatfield Heating and Air Conditioning, Inc.

It takes a special individual to be one of our super hero Service Guys! Our team of professionals is top quality, having undergone extensive training on the services we offer, as well as customer service training. All employees are drug-screened and background checked to ensure the safety and security of our customers.

If you think you're super hero material, complete the form below.


Personal Information
First Name: *	Last Name: *
Present Address 1: *
Present Address 2:
City: *	State: *	Zip: *
Present same as Permanent Address:
Permanent Address 1: *
Permanent Address 2:
City: *	State: *	Zip: *
Home Phone: ie. (803) 786-7433
Cell Phone: ie. (803) 786-7433
Employment Information
Position: * Installer Service Guy Other
Date you can Start: * mm/dd/yyyy
Salary Desired: *	Type: * Yearly Hourly
Are you employed now? * Yes No
If so, may we inquire of your present employer? * Yes No N/A
Are you legally authorized to work in the US? * Yes No
Have you ever applied to Hatfield Heating & Air Conditioning, Inc. before? * Yes No
If so, when? *
High School Education History
Name:
Location:
Years Attended:
Did you graduate? Yes No
Subjects Studied:
College Education History
Name:
Location:
Years Attended:
Did you graduate? Yes No
Subjects Studied:
Trade School Education History
Name:
Location:
Years Attended:
Did you graduate? Yes No
Subjects Studied:
General Information
Subjects of Special Study/Research Work:
Special Training:
Special Skills:
US Military or Naval Service:
Military Rank:
Former Employers
1.
Name:
Date From:	Date To: mm/dd/yyyy
Address 1:
Address 2:
City:	State:	Zip:
Salary:	Position:
Reason for Leaving:
2.
Name:
Date From:	Date To: mm/dd/yyyy
Address 1:
Address 2:
City:	State:	Zip:
Salary:	Position:
Reason for Leaving:
3.
Name:
Date From:	Date To: mm/dd/yyyy
Address 1:
Address 2:
City:	State:	Zip:
Salary:	Position:
Reason for Leaving:
4.
Name:
Date From:	Date To: mm/dd/yyyy
Address 1:
Address 2:
City:	State:	Zip:
Salary:	Position:
Reason for Leaving:
References
1.
Name:
Relationship:
Address 1:
Address 2:
City:	State:	Zip:
Primary Phone: ie. (803) 786-7433
2.
Name:
Relationship:
Address 1:
Address 2:
City:	State:	Zip:
Primary Phone: ie. (803) 786-7433
3.
Name:
Relationship:
Address 1:
Address 2:
City:	State:	Zip:
Primary Phone: ie. (803) 786-7433
Authorization: "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information that may have, personal or otherwise, and release Hatfield Heating & Air Conditioning, Inc. from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of Hatfield Heating & Air Conditioning, Inc. has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws." By submitting this form, I agree to the above terms. My submission of this form constitutes my legal signature on this form.