Careers – Cold Air Technologies, Inc.

Applicant Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Position Applying for *

Date Available *//

Desired Salary *

Are you a citizen of the United States? *

Yes
No

If no, are you authorized to work in the United States?

Yes
No

Have you ever been convicted of a felony? *

Yes
No

If yes, please explain:

Driver's License Number *

Have you had any car accidents within the last three years? *

Yes
No

If yes, please explain:

Do you have open availability, including nights and weekends? *

Yes
No

If no, please explain:

Are you currently employed? *

Yes
No

How did you hear about us? *

Educational History

Name of High School *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Years Completed *

1
2
3
4

Diploma / Degree *

Name of College / Trade School

Address

Address Line 1

Address Line 2

City

State

Zip Code

Years Completed

1
2
3
4

Degree / Certificate

List Qualifications / Major Skills *

References

Please list three personal references

Reference #1

Name *

First

Last

Phone *

Relationship *

Reference #2

Name *

First

Last

Phone *

Relationship *

Reference #3

Name *

First

Last

Phone *

Relationship *

Previous Employement

Company Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Job Title *

Responsibilities *

Supervisor's Name *

Start Date *//

End Date *//

Starting Salary *

Ending Salary *

Reason for Leaving *

Company Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Job Title

Responsibilities

Supervisor's Name

Start Date//

End Date//

Starting Salary

Ending Salary

Reason for Leaving

Company Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Job Title

Responsibilities

Supervisor's Name

Start Date//

End Date//

Starting Salary

Ending Salary

Reason for Leaving

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