New River Heating and Air in Christiansburg, VA
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Emergency Service

Call 540-731-1979
or 276-223-1986


HVAC RepairLicensed
Bonded
& Insured


Hours
8 a.m.-5 p.m.
Mon.-Fri.

angies List

Better Business BureauNorth American Technician ExcellenceEnergy Star
New River Valley Home Builders Association  EPA certified
SWAM
BBB Request Quote


"Friendly and courteous service. Good product, fairly priced."


- Everett Agee, President, Agee’s Auto Parts

 
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Employment Application



Please fill out and submit the Employment Application form below. If you prefer, you can download this Employment Application pdf to submit. Contact our Radford office at (540) 731-1979 with any questions.
Employment Application (pdf)


Contact Information

Date
First Name*
Last Name*
Middle Name
Maiden Name
Email*
Date of Birth
Address
City
State  (USA only)
Zip Code
How long at current address?
Phone
Emergency Contact
Emergency Phone

Job Information

Are you under age 18? If you answered "YES" to authorized, can you provide proof of your eligibility to work?
Are you currently authorized to work in the United States? Proof of eligibility will be required if hired.
Position applied for:
Wage desired:
How many hours can you work weekly?
Employment desired:
When are you available to start work?
Days/hours available to work:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Education Background

High School
School Name
Address
Number of years completed
Major and Degree
College
School Name
Address
Number of years completed
Major and Degree
Business or Trade School
School Name
Address
Number of years completed
Major and Degree
Professional School
School Name
Address
Number of years completed
Major and Degree

Background Information

Have you ever been convicted of a crime which is substantially related to the functions or qualifications of the job for which you are applying?
A Conviction record will not necessarily disqualify you from employment.
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed and type(s) of rehabilitation.
Do you have a Driver's License?
State of issue
Type of License
Expiration date
Have you had any accidents during the past three years?
If so, how many?
Have you had any moving violations during the past three years?
If so, how many?

FOR OFFICE POSITIONS ONLY

Typing
WPM
10-Key
Word Processing
Personal Computer
Operating System


Other skills:

Please list two references other than relatives.

Reference Name 1
Position
Company
Address
Phone
Reference Name 2
Position
Company
Address
Phone
Please use this space to elaborate on any background, experience, or qualifications that you believe should be considered in evaluating your qualifications for employment. You may include hobbies, volunteer experience and any other activities you believe relevant. Please omit any information that would disclose your race, gender, age, marital status, ethnic origin, religious or political affiliations, or disability.

Military Background

Have you ever been in the armed forces?
Are you now a member of the National Guard?
Specialty
Date Entered
Discharge Date

Work Experience

Please list your work experience for the past seven years beginning with your most recent job held. If you were self-employed, give firm name.
Name of employer 1
Address
Phone
Name of last supervisor
Your last job title
Employment BEGIN date
Employment END date
Pay or salary START
Pay or salary END
Reaon for leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of Employer 2
Address
Phone
Name of last supervisor
Your last job title
Employment BEGIN date
Employment END date
Pay or salary START
Pay or salary END
Reaon for leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of Employer 3
Address
Phone
Name of last supervisor
Your last job title
Employment BEGIN date
Employment END date
Pay or salary START
Pay or salary END
Reaon for leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of Employer 4
Address
Phone
Name of last supervisor
Your last job title
Employment BEGIN date
Employment END date
Pay or salary START
Pay or salary END
Reaon for leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of Employer 5
Address
Phone
Name of last supervisor
Your last job title
Employment BEGIN date
Employment END date
Pay or salary START
Pay or salary END
Reaon for leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of Employer 6
Address
Phone
Name of last supervisor
Your last job title
Employment BEGIN date
Employment END date
Pay or salary START
Pay or salary END
Reaon for leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of Employer 7
Address
Phone
Name of last supervisor
Your last job title
Employment BEGIN date
Employment END date
Pay or salary START
Pay or salary END
Reaon for leaving
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact your present employer?
Did you complete this application yourself?
If not, who did?
After reviewing the attached job description, please indicate if you are able to perform the essential functions of the job for which you have applied.
If you answered “No” to performing job functions, please identify those job functions that you cannot perform. If a reasonable accommodation is required to enable you to perform the job properly and safely, please describe:

Application Form Waiver

As indication that you have read and understood each sentence, please type your initials in the spaces provided below.
In exchange for the consideration of my job application by New River Heating & Air, (hereinafter called “the Company”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements and the like as they may exist from time to time, or other company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of New River Heating & Air, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the Owner/Managing Member of New River Heating & Air. Both the undersigned and New River Heating & Air may end the employment relationship at any time, without specified notice or reason. If employed, I understand that New River Heating & Air may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give New River Heating & Air permission to contact schools, all previous employers (unless otherwise indicated), references and others and hereby release New River Heating & Air from any liability as a result of such contact.

I understand that, in connection with the routine processing of your employment application, New River Heating & Air may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics and mode of living. Upon written request from me, New River Heating & Air, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with New River Heating & Air shall be probationary for a period of ninety (90) days and further that at any time during the probationary period or thereafter, my employment relationship with the Company is terminable at will for any reason by either party.


Type applicant name here to sign: Date:
Click send to submit.  
New River Heating and Air Conditioning, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with New River Heating and Air Conditioning, Inc. depends solely on your qualifications.

New River Heating and Air in Radford, VA



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