A-AIR COMPANY, INC.

Employment Application

PERSONAL INFORMATION

Last Name:

First Name:

Middle Name:

Other Name:

Address:

City:

State:

Zip:

How Long?

Are you will to relocate?

Yes No

Home Phone:

Bus Phone:

SS No.:

Email:

Are you a U.S. citizen?

Yes No

If not, do you possess an alien registration card?

Yes No

EDUCATION

High School:

Graduate?

Yes No

Trade School:

Graduate?

Yes No

College:

Degree:

Years completed:

Other:

EMPLOYMENT HISTORY

Begin with most recent experience and include complete employment history noting part time or full time.

Name of Co.:

Dates Employed:

Position Held:

Address:

Phone:

Type of Business:

Supervisor:

Reason for leaving:

Ending salary:

Name of Co.:

Dates Employed:

Position Held:

Address:

Phone:

Type of Business:

Supervisor:

Reason for leaving:

Ending salary:

Name of Co.:

Dates Employed:

Position Held:

Address:

Phone:

Type of Business:

Supervisor:

Reason for leaving:

Ending salary:

May we contact past/present employers?

Yes No

If no, indicate those you do not wish us to contact.

BUSINESS REFERENCES

Minimum of three.

Name:

City/State:

Occupation/Title:

Phone:

Name:

City/State:

Occupation/Title:

Phone:

Name:

City/State:

Occupation/Title:

Phone:

CAREER OBJECTIVE

Give a specific and concise statment.

SECURITY INFORMATION

Driver's license No.:

State:

Have you ever been arrested/convicted of a crime?

Yes No

If yes, provide details including date(s), place(s), nature of offense(s) and result(s).

Refrigeration Certification Information

Type.:

ID Number:

Has bond or security clearance ever been denied and/or canceled?

Yes No

If yes, explain.

I DECLARE THAT THE INFORMATION PROVIDED BY ME IS COMPLETE AND TRUE TO THE BEST OF MY KNOWLEDGE. I AM AWARE THAT ANY MISREPRESENTATION OR OMISSION MAY PRECLUDE AN EMPLOYMENT OFFER OR MAY RESULT IN WITHDRAWAL OF AN EMPLOYMENT OFFER OR SEPARATION FROM EMPLOYMENT. I AUTHORIZE INVESTIGATION OF ALL INFORMATION PROVIDED BY ME IN THE APPLICATION PROCESS. I UNDERSTAND THAT ANY OFFER OF EMPLOYMENT IS CONTINGENT ON THE COMPLETION OF A SATISFACTORY BACKGROUND INVESTIGATION, DRUG SCREEN AND VERIFICATION OF EMPLOYMENT ELIGIBILITY. I ALSO UNDERSTAND THAT EMPLOYMENT WITH A-AIR COMPANY IS AT WILL, AND THE EMPLOYMENT RELATIONSHIP MAY BE ENDED BY EITHER PARTY AT ANY TIME, WITH OR WITHOUT NOTICE.

Enter your full name to indicate your agreement

02/23/2012