Application for Employment Application Carlson & Stewart Refrigeration, Inc. (“Carlson & Stewart”) is an equal employment opportunity employer and will not discriminate against any applicant or employee on any grounds protected under federal, state, or local law, including race, color, creed, religion, age, sex, national origin, ancestry, marital status, handicap, disability related to pregnancy or childbirth, membership or activity in any local commission, or status regarding public assistance, membership or non-membership in any labor organization, or any other characteristic protected under federal, state or local law. None of the questions in this application are intended to elicit information regarding any protected characteristics, nor imply any limitation, illegal preferences, or discrimination based upon non-job related information or protected characteristics. Name * Name Last Last First First Middle Initial Middle Initial Current Date * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone * Email * What position are you applying for? * How did you hear about the position * Are you acquainted with anyone who is or was employed by Carlson & Stewart? * Yes No Who? * Have you ever worked for Carlson & Stewart before? * Yes No When? * Reason for leaving? * Are you available to work: * Full Time Part Time Temporary Days Nights Weekends Available start date * Desired Wage $ * Upload a resume here Drop a file here or click to upload Choose File Maximum file size: 314.57MB Did you attach a resume? * Yes No If you did not attach a resume, complete the following section EDUCATION High School High School Name Name Location Location Number of years Did you graduate? Yes No College College Name Name Location Location Number of years Did you graduate? Yes No Trade School Trade School Name Name Location Location Number of years Did you graduate? Yes No Business or Correspondence Business or Correspondence Name Name Location Location Number of years Did you graduate? Yes No Have you attended any other short courses or seminars on subjects related to your desired position? Yes No Please List Do you have any other skills which may be applicable to your desired position? Yes No Please List are you experienced in using tools or equipment which might be helpful for your desired position? Yes No Please List WORK HISTORY List all employers during the last 10 years, in order, with the present employer first. Employer Start date End date Employer name and address Phone Position Starting pay Final pay Supervisor's name Supervisor's name Last Last First First Duties Reason for leaving plus1 Add minus1 Remove Have you ever been discharged by an employer? Yes No Please explain May we contact the employers listed above? Yes No Please explain REFERENCES arrowup6 Name * Name First First Last Last Phone * Email Affiliation * Years known * Name * Name First First Last Last Phone * Email Affiliation * Years known * Name * Name First First Last Last Phone * Email Affiliation * Years known * Please read and sign By my signature below, I promise that the information provided in the employment application (and accompanying resume, documentation, or interview, if any) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and if hired, may lead to my dismissal from employment, if discovered at a later date. I authorize any person, school, current employer (except as previously noted), past employer(s), and organizations named in this application form (and accompanying resume, if any) to provide Carlson & Stewart with any information and opinion requested by Carlson & Stewart in connection with any application, and I release such person and organizations from any legal liability in making such statements. Signature * signature keyboard Clear Current date * Captcha Submit If you are human, leave this field blank. Δ
