Application for Employment

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration, made unlawful by applicable.

Email *
Name *
First and last name
Email *
Phone number *
Present Address: *
Previous Address: *
Which position(s) are you interested in? *
Desired Salary / Hr. rate *
Date of birth *
Type of Employment *
Are you willing to work overtime *

Have you ever plead guilty or no contest to or been convicted of any criminal offense?


Criminal, convictions or arrest, will not automatically disqualify an applicant from this particular job. We will consider the nature of the crime, its seriousness, whether the convictions subsequentially related to the positions, functions and qualifications, the frequency of the convictions, the applicants age at the time of the conviction, the time elapsed since the date of the conviction or completion of jail sentence, the applicants entire work and educational, history, and employment, references and recommendations. 

If Yes, please provide the dates and explain

Have you ever initiated an act of violence in the workplace? 

If Yes, please provide the dates and explain
Have you ever been in a car wreck? *
If so please explain
Can you lift 60-100 lbs *
Have you ever filed a Workers Comp claim?
Have you ever filed for Bankruptcy?
Have you ever sued anyone?

List all special technical skills that you feel qualify you for the job for which you are applying 

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This form was created inside of E.R.A. Climate Technologies LLC.