Super Heat & AirEmployment Application(813) 355-0288 Employment Application Application InformationIncomplete information could disqualify you from further consideration. Please complete all fields.First Name Last Name Date AddressAddress Line 1 Address Line 2 City State Zip Code Email Phone/Mobile Are you eligible to work in the U.S? Yes NoAre you at least 18 years or older? (If no, you may be required to provide authorization to work.) Yes NoHave you ever been terminated from employment or asked to resign by an employer? Yes NoIf yes, please provide company names and details Can you work any shift? Yes NoIf no, explain Can you work overtime, including weekends? Yes NoAre you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? Yes NoEmployment DesiredDate You Can Start Hourly Rate/ Salary Desired Position Desired Are You Currently Employed? If so, may we inquire of your present employer? EducationHigh School Degree Received Subjects Studied/Major College or University Degree Received Subjects Studied/Major Trade, Business or Correspondence School Degree Received Subjects Studied/Major Employment HistoryInclude your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.From To Employer Name Phone Job Title Address Immediate Supervisor and Title Summarize the nature of work performed and job responsibilities Reason For Leaving From To Employer Name Phone Job Title Address Immediate Supervisor and Title Summarize the nature of work performed and job responsibilities Reason For Leaving From To Employer Name Phone Job Title Address Immediate Supervisor and Title Summarize the nature of work performed and job responsibilities Reason For Leaving Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? Yes NoIf yes, explain ReferencesGive the names of three persons not related to you, whom you have known at least three (3) years.Name Address, Phone, Email Company Year Acquainted Name Address, Phone, Email Company Year Acquainted Name Address, Phone, Email Company Year Acquainted Please read carefully before signing I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Super Home Services to hire me. If I am hired, I understand that either Super Home Services or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Super Home Services has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Super Home Services is true and complete information on this application. No requested information has been concealed. I authorize Super Home Services to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.Date Name Submit Form Proudly Serving the Tampa Bay AreaAt Super Heat & Air, we offer a variety of heating, air conditioning, and indoor air quality services to your neighbors in Tampa Bay.TampaLakelandValricoSeffnerDavenportDoverBrandon"Because Super Heroes Don't Take A Day Off!"We provide round-the-clock services that include the following:100% Satisfaction Guarantee0% Interest Payment PlansPayments as Low as $49/monthMoney Back GuaranteeTrue 24/7 Service w/ No Overtime Charges!Free Estimates, Free Second OpinionBackground Checked, Certified TechniciansReliable & Trustworthy 5-Star ServiceMaintenance Pays for Itself or We Pay You!