Application for Employment

  • Date Format: MM slash DD slash YYYY
  • Basic Information

  • Position Desired

  • Education

  • Military Service

  • Work Experience

    List all previous employment, beginning with the most recent. Please include the following information: employer, employer address, position held, dates of position, description of duties, reason for leaving, starting salary, ending salary, supervisor's name, permission to contact supervisor, and supervisor contact information.


    I certify that the facts contained in the application are true and complete to the best of my knowledge. I understand that if I am employed, any false statements on the application may be grounds for dismissal.

    I authorize investigation of all statements contained in this application. I also grant permission to contact all references listed above and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you.

    I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time and without prior notice.

  • Date Format: MM slash DD slash YYYY
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Action Air Conditioning, Heating & Solar is committed to a policy of equal employment opportunity. We will not discriminate on the basis of race, creed, color, sex, sexual orientation, age, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any other legally protected basis.