Schneider Heat & Air- Employment Application
We consider all applicants regardless of age, race, religion, creed, color, disability, or other legally protected status. 
For questions, call us at 812-428-2665. 
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Name *
Address
Email Address *
Phone # *
When is the best time to contact you?
Which job you may be best suited for *
Required
Are you a legal U.S. citizen?  *
Do you have a current and legal driver's license? *
Is there any reason you could not legally or safely drive our company vehicles? *
What range of pay are you expecting here? 
($___  to $___ per hour)
 *
Are you currently working? *
If you answered yes, may we ask where you are currently employed? What is your current schedule?
1. Most recent past employer- Name, start & finish dates, rate of pay *
Can you explain reason for leaving?
2. Next recent past employer- Name, start & finish dates, rate of pay *
Can you explain reason for leaving? *
3. Next recent past employer- Name, start & finish dates, rate of pay *
Can you explain reason for leaving? *
What experience or education do you have that may hep you be qualified? *
Are you physically able to perform tasks associated with our trade?
Example: climbing ladders, lifting, crawling, working in hot and cold conditions, etc. 
 *
Are you able to work overtime (evenings and weekends)? *
Education: High School (where, when, did you receive your diploma?) *
Education: College / Technical School (where, when, did you receive your diploma?) *
Other Education?
Any special achievements, clubs, civic organizations?
1. Reference
Name & phone number
 *
2. Reference 
Name & phone number
 *
3. Reference 
Name & phone number
 *
Comments/Questions
I certify the answers given here are true and correct. I authorize investigation of these details as they pertain to the process of selection for hiring. I also understand and acknowledge that, unless defined by applicable law, any employment relationship with this organization is on an "at will" nature and either the employee or employer can end the relationship at any time with or without just cause. In the event any false information given is discovered that this could be grounds for dismissal. 
Thank you,
Schneider Heat and Air, Inc.
 *
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