Name
Address
Drivers License #
Expiration Date
Issuing State
Cell Phone #
Alt. Phone #
Email Address

Position
Date of Application
How did you learn of American Services?


Personal Information
Please Answer the Following Questions
Yes
No
Are you at least 18 years old?
Have you ever filed an application with us before?
If yes, when?   
Have you ever been employed with us before?
If yes, when?   
Do you have a valid Driver's License?
Are you currently employed?
If yes, may we contact your present employer?
If yes, when will you be available to begin work?
Have you had a D.W.I. in the last 3 years?
Have you had more than 2 moving violations in the past 3 years?
Are you eligible to work in the United States?

Education and Training
What education level have you completed?
Education / Vocational Training
Course / Degree Program
School
Date
Certificate / Degree Awarded?
YES
NO
Experience and Training
Do you have a valid TDLR License?
If Yes, what type?
Yes
No
Do you have EPA Certification?
If Yes, what type?
Yes
No

Do you have experience with the following?
Yes
No
Residential HVAC Installation/Service/Troubleshooting
Commercial HVAC Installation/Service/Troubleshooting
Residential Electrical Wiring Installation/Service/Troubleshooting
Commercial Electrical Wiring Installation/Service/Troubleshooting<
DDC Installation/Service/Troubleshooting
Generator Installation/Service/Troubleshooting
Have you received training on the following?
Yes
No
OSHA 30-Hour
If yes, when?   
OSHA 10-Hour
If yes, when?   
First Aid/CPR
If yes, when?   

References
Name
Address
Phone Number
Relationship

Employment History
Dates Employed
From
To
Hourly Rate/Salary
Starting
Final
Duties
Dates Employed
From
To
Hourly Rate/Salary
Starting
Final
Duties
Dates Employed
From
To
Hourly Rate/Salary
Starting
Final
Duties
Dates Employed
From
To
Hourly Rate/Salary
Starting
Final
Duties
Dates Employed
From
To
Hourly Rate/Salary
Starting
Final
Duties

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the investigation of all statements contained in this application for employment as may be necessary in determining an employment decision.

This application for employment shall be considered active for a period of no more than 60 days. Any applicant wishing to be considered for employment beyond this time period must submit a new employment application.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all policies and procedures of this organization.