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SLIDER Best Places to Work 2016 02

Page 1 of 6

PERSONAL INFORMATION
Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.
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High School

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Undergraduate College

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Graduate Professional

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Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
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Dates of Employment
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Dates of Employment
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Dates of Employment
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Dates of Employment

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Other Qualifications
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Specialized Skills (Check skills/Equipment Operated)
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Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENT OF THE JOB FOR WHICH YOU ARE APPLYING.
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Please provide names, addresses, phone numbers, relationship and how long you' ve known each reference.
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I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize Hoffmann Brothers Heating and Air Conditioning, Inc. to investigate any statement contained in this application, and to obtain a credit report on me as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions, or interview may result in immediate termination. I understand also, that I am required to abide by all rules, regulations, and policies of Hoffmann Brothers Heating and Air Conditioning, Inc.
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I, the undersigned, if hired by Hoffmann Brothers Heating and Air Conditioning, Inc., give consent to drug testing by a state approved testing firm on behalf of Hoffmann Brothers Heating and Air Conditioning, Inc.
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Background Check Notification:
By signing below I acknowledge Hoffmann Brothers will obtain ad Criminal Background Check and a Motor Vehicle report (MVR). I also acknowledge that an MVR will be run approximately every 6 months during my employment with Hoffmann Brothers Heating, Air Conditioning, Plumbing & Electrical. I acknowledge that a drug test will be performed prior to or upon my acceptance of employment with Hoffmann Brothers. I also acknowledge that random drug and alcohol tests, post accident and reasonable suspicion drug and alcohol tests will be run at the employers discretion during my employment with Hoffmann Brothers.
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