Application for Employment

    Intermountain Heating & A/C, Inc. is an Equal Opportunity Employer. All persons, without regard to race, religion, color, national origin, sex, age, physical handicap, or veteran's status, will be given equal consideration.

    If you need more space for your answers, please attach a separate sheet. Feel free to add any additional information which will help us in placing you where you are best qualified.

    Personal Information


    Goals


    Employment History

    List your employment starting with your most recent position. Please account for the last 10 years or the entire time worked if less than 10 years.

    Job #1

    Job #2

    Job #3


    Educational Background

    Include high school, college, graduate school, or technical/trade schools. List dates, majors, minors, degrees earned, and honors.


    Military Service


    Professional Activity

    Include any relevant registrations, publications, or professional organizations.


    References

    List three professional references who are not relatives or previous supervisors.











    Additional Information




    Certification

    By submitting this form, I certify that the answers given by me in this application are true and correct without reservations of any kind. I further affirm that I have not knowingly withheld any facts or circumstances that would materially affect this application. I authorize this company to verify all information from former employers and others, and I release all concerned from any liability in connection with any information they provide.

    12 or 72 Months Special Financing*
    *On qualifying equipment. Subject to credit approval