Are you interested in working at Quality Air Mechanical, Inc.? Use the following form to apply online for a position with us. Employment Application Applicant InformationName(Required) First Middle Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date Available(Required)Date of Birth(Required) MM slash DD slash YYYY Position Applied For(Required)Desired Salary(Required)Are you a citizen of the United States?(Required) Yes No If no, are you authorized to work in the U.S.?(Required) Yes No Have you ever worked for this company?(Required) Yes No If so, when?(Required)Have you ever been convicted of a felony?(Required) Yes No If yes, explain:(Required)Education - High SchoolHigh School(Required)Address(Required)Dates Attended(Required)Did you graduate?(Required) Yes No Education - CollegeCollegeAddressDates AttendedDid you graduate? Yes No Education - OtherOtherAddressDates AttendedDid you graduate? Yes No References - Reference 1Full Name(Required)Address(Required)Relationship(Required)Company(Required)Phone(Required)References - Reference 2Full Name(Required)Address(Required)Relationship(Required)Company(Required)Phone(Required)References - Reference 3Full Name(Required)Address(Required)Relationship(Required)Company(Required)Phone(Required)Previous Employment - Company 1Company 1(Required)Job Title(Required)Address(Required)Supervisor(Required)Phone(Required)Dates Employed(Required)Starting Salary(Required)Ending Salary(Required)Reason for Leaving(Required)May we contact your previous supervisor for a reference?(Required) Yes No Previous Employment - Company 2Company 2(Required)Job Title(Required)Address(Required)Supervisor(Required)Phone(Required)Dates Employed(Required)Starting Salary(Required)Ending Salary(Required)Reason for Leaving(Required)May we contact your previous supervisor for a reference?(Required) Yes No Previous Employment - Company 3Company 3(Required)Job Title(Required)Address(Required)Supervisor(Required)Phone(Required)Dates Employed(Required)Starting Salary(Required)Ending Salary(Required)Reason for Leaving(Required)May we contact your previous supervisor for a reference?(Required) Yes No Military ServiceBranchDates ServedRank at DischargeType of DischargeIf other than honorable, explainDisclaimer and Digital SignatureI certify that my answers in this application are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview is grounds for refusal to hire or if hired, my immediate release.(Required) Yes No I understand that Quality Air Mechanical, Inc. requires me to take and pass a five panel rapid drug test prior to my employment.(Required) Yes No Quality Air Mechanical, Inc is an "at-will" employer. During the course of employment, employees are free to terminate their employment with the company at any time, with or without a reason. The company also has the right to terminate employees at any time, with or without reason.(Required) Yes No I understand and authorize Quality Air Mechanical, Inc. to run a criminal history record prior to my employment.(Required)After submitting this application, I agree to contact Quality Air Mechanical at 570-322-6500 to provide my Social Security Number for criminal history verification, and I understand that my application can not be processed until I have submitted this information. Yes No CAPTCHA Δ
