Job Application Form

First Name

Middle Name

Last Name

Phone

Address

City

State

Zip

Best time to contact you

Position Applying For

Salary Requirement$

Hourly/Annualy

Hourly Annually

Willing to Relocate?

Yes No

If required, will you work?

Rotating Shifts Saturdays Sundays Overtime

Can you travel and be out of town for up to 5 days if a job requires it?

Yes No

Date You Can Start

Have you ever applied to work at Advanced Refrigeration & Air, Inc.?

Yes No

If YES, when did you previously apply and for what position?

Do any of your friends or relatives, work here?

Yes No

IF YES, who?

How Did You Learn About Us?

Job Posting Walk-in Other

Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?

Yes No

Are you authorized to work lawfully in the United States for Advanced Refrigeration & Air, inc.?

Yes No

Will you now or in future require Advanced Refrigeration & Air, Inc. to "sponsor" an immigration case in order to employ you (for example, H-1B or other employment-based immigration case?)?

Yes No

If you are under 18 years of age, can you provide required proof of your work eligibility?

Yes No

Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment)

Yes No

IF YES, Explain

Last High School Attended

College or University Attended

Technical or Vocational School Attended

List any scholarships, academic honors, awards or special achievements

Please list any skills you have that are relevant for the position you are applying for

State fully why you believe you are qualified for this position and why Advanced Refrigeration & Air, Inc. Should hire you

Certifications/Accomplishments

Starting with your PRESENT or MOST RECENT EMPLOYER list in chronological order ALL EMPLOYMENT for at least the past THREE employers. If currently employed, may we contact your employer?

Yes No

If NO, explain

1. Employer Details

Full Name of Company

Telephone

Street Address

City

State

Zip

Name & Title of Supervisor

Title of your position

Salary Begin/End

Employed FROM/TO

List Jobs held, Duties performed, Skills used, & Promotions while employed at this company

Reasons for Leaving

2. Employer Details

Full Name of Company

Telephone

Street Address

City

State

Zip

Name & Title of Supervisor

Title of your position

Salary Begin/End

Employed FROM TO

List Jobs held, Duties performed, Skills used, & Promotions while employed at this company

Reasons for Leaving

3. Employer Details

Full Name of Company

Telephone

Street Address

City

State

Zip

Name & Title of Supervisor

Title of your position

Salary Begin/End

Employed FROM TO

List Jobs held, Duties performed, Skills used, & Promotions while employed at this company

Reasons for Leaving

All job applicants at Advanced Refrigeration & Air, Inc. will undergo screening for the presence of illegal drugs as a condition for employment.

Any applicant with positive test results will be denied employment at that time.

Applicants will be required to submit to a urinalysis test at a laboratory chosen by the company, and by signing a consent agreement, will release the company from liability.

PLEASE READ CAREFULLY

I freely and voluntarily agree to submit to a urinalysis (drug screen) as part of my application for employment. I understand that either refusal to submit to the urinalysis screen or failure to qualify according to the minimum standards established by Advanced Refrigeration & Air, Inc. for this screen might disqualify me from further consideration for employment.

I further understand that upon commencement of employment with Advanced Refrigeration & Air, Inc., I may again be required to submit to a urinalysis screen. I understand that refusal to take a requested urinalysis screen or failure to meet the minimum standards set for the screen may result in immediate suspension or discharge.

In the event that employment commences prior to Advanced Refrigeration & Air, Inc. receiving the drug test results, I understand that I will be immediately discharged if the result comes back positive.

I have read in full and understand the above statements and conditions of employment.

Drug Testing Signature

Drug Testing Date

S.S. Number

Name

(print your name LEGIBLY) am aware that Advanced Refrigeration & Air, Inc. has requested DataCheck to perform a background check in connection with my application for employment with this Advanced Refrigeration & Air, Inc. Any information obtained as a result of such an investigation is confidential and will be provided only to Advanced Refrigeration & Air, Inc. I have voluntarily provided the information listed. I am fully aware of the purpose for this background check, and therefore request that people, companies, references, current or former employers, schools, government agencies, and others contacted provide applicable information to DataCheck. DataCheck is a professional pre-employment background investigation firm performing background checks as its normal course of business. DataCheck may make an investigative report in which information is obtained through business associates, financial sources, credit reporting agencies, criminal courts, educational institutions, law enforcement agencies, or other third parties with whom I may be acquainted. I hereby release personal information about me for the purpose of this investigation.

Please print your full name as written on your Driver’s License:

Maiden Last Name or other legal names you have been known by

Have you used your maiden name within the last 10 years?

Please list all counties and States you have lived in within the last 10 years:

I understand and approve Advanced Refrigeration & Air, Inc. to run a background check on me

Date

If not applying for Construction, please disregard.
The Construction Department handles new and remodel installation of refrigeration systems for the supermarket industry. Job locations presently range from Pensacola to Tallahassee, southern Alabama, southern Georgia, Gainesville/Ocala, Orlando, St. Pete, Clearwater, Bradenton and Sarasota.

Requirements for the new hires:

Adhere and follow all safety rules and regulations

Read a tape measure

Retain and memorize information

Able to work on heights above 6 feet, i.e. ladders, aerial equipment, roof

Able to lift 50lbs

Follow directions and take directives from managers

Team player, punctual, good attitude and self-motivated

Adhere to and follow company dress code

Flexible to working different shifts (high percentage of night work)

Able to work out of town, usually up to four nights

Provide transportation to the jobsite or meeting location

Able to use powered tools

I understand and accept the requirements for construction department personnel at Advanced Refrigeration & Air, Inc..

Construction Department Requirements Signature

Construction Department Requirements Date

APPLICANT STATEMENT:

I certify that all information I have provided in this application and in any attachments in order to apply for and secure work with Advanced Refrigeration & Air, Inc. is true, complete and correct. I understand that false, omitted, incomplete or misrepresented statements will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from Advanced Refrigeration & Air, Inc., whenever it is discovered.

I authorize employers, schools, or persons named in this application to give any information regarding my qualifications and character. I release Advanced Refrigeration & Air, Inc. all employers, and all references from any and all liability of damages for receiving or releasing information.

I understand that Advanced Refrigeration does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from Advanced Refrigeration and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I will be an employee at-will and am free to resign at any time, with or without cause and without prior notice, and that as an at-will employer, Advanced Refrigeration reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be prohibited by law. I will be an employee at-will and that this application does not constitute an agreement or contract for employment for any specified period of definite duration. I understand that no supervisor or representative of Advanced Refrigeration is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are written and signed by the President of Advanced Refrigeration.

I also understand that if I am hired I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form.

If a conditional job offer is made, I agree to undergo job-related background checks and perform a drug test and understand that employment is contingent upon meeting Advanced Refrigeration job-related background checks and passing a drug test required by Advanced Refrigeration & Air, Inc.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Date

Advanced Refrigeration & Air, Inc. is an equal opportunity employer and fully subscribes to the principles of equal employment opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability or any other identification prohibited by law