Job application form
Submitting this form indicates that you are applying for a position with Xtreme Heating and Air, LLC located in Danville, VA.
Employment Application
Name *
First and last name
Address *
Email *
Phone number *
Which position(s) are you interested in? *
Are you interested in... *
For Technicians, on-call may be required, which one(s) are you willing to cover?
How did you hear about the position? *
If someone referred you, please let us know who did.
Have you worked for Xtreme before? *
If yes, please give dates and position.
Do you know anyone that works here? *
If so, who?
Desired Pay (either per hour or annual) *
How soon would you be able to start working, if offered a position? *
Are you authorized to work in the United States? *
Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, Xtreme Heating & Air, LLC will verify the status of every individual offered employment with the company. In this connection, all offers of employment are subject to verification of the applicant's identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.
If you are under 16 years of age, can you furnish a work permit?
Clear selection
Are you capable of performing the essential functions of the job for which you are applying with or without reasonable accommodation? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy