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Personal Information:
First Name

Last Name

Middle Name

 

Present Address

Present City

Present State

Present Zip

 

Permanent Address

Permanent City

Permanent State

Permanent Zip

 

Phone Number:

Email:

Referred By:

 

Are You 18 Years or Older?

YesNo

Employment Desired:
Position:

Date You Can Start:

Salary Desired:

Are You Employed Now?

YesNo

If so, May We Inquire Your Present Employer?

YesNo

Ever Applied for This Company Before?

YesNo

When?

Where?

Reason for Leaving?

Name of Last Supervisor for This Company?

Education:
School History (Name of Most Recent School)

Location

# of Years Attended

Did You Graduate?

YesNo

Subject Studied

 

School History

Location

# of Years Attended

Did You Graduate?

YesNo

Subject Studied

 

School History

Location

# of Years Attended

Did You Graduate?

YesNo

Subject Studied

Other Information:
Subjects of Special Study or Research Work:

Special Training:

Activities: (Civic, Athletic, Etc.)

Former Employers: (List the Last Three Employers, Starting with the Most Recent One First)
Name of Present or Last Employer:

Street Address:

City:

State:

Zip:

Starting Date:

Leaving Date:

Job Title:

Starting Salary:

Ending Salary:

May We Contact Your Supervisor?

YesNo

Name of Supervisor:

Job Title:

Description of Work:

Reason for Leaving:

Second Most Recent Employer:
Name:

Street Address:

City:

State:

Zip:

Starting Date:

Leaving Date:

Job Title:

Starting Salary:

Ending Salary:

May We Contact Your Supervisor?

YesNo

Name of Supervisor:

Job Title:

Description of Work:

Reason for Leaving:

Third Most Recent Employer:
Name:

Street Address:

City:

State:

Zip:

Starting Date:

Leaving Date:

Job Title:

Starting Salary:

Ending Salary:

May We Contact Your Supervisor?

YesNo

Name of Supervisor:

Job Title:

Description of Work:

Reason for Leaving:

References:
Name:

Address:

Business:

Years Acquainted:

Name:

Address:

Business:

Years Acquainted:

Name:

Address:

Business:

Years Acquainted:

Name:

Address:

Business:

Years Acquainted:

Service Record:
Branch of Service:

Discharge Date Rank:

Background Information:
Have You Been Convicted of a Felony Within the Last Five Years?

YesNo

If Yes, Explain: (Will Not Necessarily Exclude You From Consideration)

 

 

 

AUTHORIZATION

I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE THE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERRENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION.

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This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

APPLICATION FORM WAIVER

In exchange for the consideration of my job application by Blue Mountain Air, Inc. (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 Blue Mountain Air, Inc., 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 Greg Owen, President and CEO. Both the undersigned and Blue Mountain Air, Inc. may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company 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 the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.

I also understand that (1) the Company has a drug and alcohol policy that provides for random pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

I understand that, in connection with the routine processing of your employment application, the Company 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, the Company 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 the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

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If you are interested in joining the Blue Mountain Air team, please download this PDF, fill it out and send it to us.

Satisfied Clients

Blue Mountain Air was terrific! The sales consultant who sold us the furnace and air conditioner was very knowledgeable, prepared and took plenty of time to explain all our options, while addressing our questions and concerns...

Kathy

Vacaville, CA
I recently called Blue Mountain Air to come give me a bid on a new furnace and air conditioner, as ours finally wore out after 20 years. My wife and I were thrilled with the whole experience from our very first call to the Blue Mountain office to the final...

John H

Fairfield, CA