Please enable JavaScript in your browser to complete this form. - Step 1 of 8First Name *Middle NameLast Name *Phone *Email *Present Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrevious AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextPosition Applied For: *Select OneService PlumberHVAC Install TechnicianHVAC Service TechnicianCustomer Service RepresentativeAre You Available Full Or Part-Time? *Full-TimePart-TimeSpecify the days and hours for which you are available: *Desired Start Date? *Salary Requirement? *Will you be able to travel out of town and/or overnight on your job if necessary? *YesNoWill you be able to work overtime? *YesNoWill you be able to work on weekends? *YesNoHow did you hear about Pro-Tech?Are you authorized to work in the United States? *YesNoHave you ever applied at Pro-Tech before? *YesNoPlease explain:Have you ever been employed by Pro-Tech before? *YesNoPlease explain: Give the names and relationships of any relatives you have working for Pro-Tech:Is there anything that will prevent you from performing the essential functions of the position or positions for which you are applying with or without reasonable accommodation? *YesNoPlease explain:Is there any criminal (misdemeanor or felony) investigation or proceeding, have you ever pled guilty or "no contest" to a crime, or been convicted, or received a verdict of anything other than "not guilty", or sentenced to probation before judgment, or adjudged not criminally responsible? (Please note that a "yes" answer will not necessarily disqualify you from employment): *YesNoPlease explain:PreviousNextEmployment HistoryPlease start with your most recent employerPrevious Employer #1Start with your most recent employer.Name of company: *Position held: *Company AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployed From: *Employed To: *Name of manager/supervisor:PhoneWage:Duties performed:Reason for leaving:Previous Employer #2Name of company: Position held: Company Address:Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployed from:Employed to:Name of manager/supervisor:Phone:Wage: Duties performed: Reason for leaving:Previous Employer #3Name of company:Position held:Company Address:Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployed from:Employed to:Name of manager/supervisor:Phone:Wage:Duties performed:Reason for leaving:Have you ever been discharged or have you resigned from a job because your employer indicated that it believed you were involved in an incident(s) relating to violence, threats or violence, possessions of weapons, suspected theft, harassment, lewd behavior, possession of alcohol or illegal drugs, or being under the influence of alcohol or illegal drugs at its workplace? *YesNoPreviousNextWhat is your highest level of education? *Some high schoolGraduated high schoolSome collegeGraduated college (Associate's Degree)Graduated college (Bachelor's Degree)Masters or Ph.D EducationDo you plan to continue your education?YesNoWhat foreign languages do you speak?High School InformationName of school:Location:State Date:End Date:Degree obtained:YesNoAssociate DegreeName of school:Location:State Date:End Date:Degree obtained:YesNoBachelors DegreeName of school:Location:State Date:End Date:Degree obtained:YesNoMasters DegreeName of school:Location:State Date:End Date:Degree obtained:YesNoPreviousNextHave you served in the United States Armed ForcesYesNoDates of service:Branch:PreviousNextWhat office skills do you have? (Check all that apply)TypingMicrosoft WindowsWordExcelAccessPowerpointPublishersCreating letters/memosMicrosoft OutlookCopy/Move filesFilingCreate new directoriesGraphics KnowledgePrint ArtistDo you have knowledge of any additional software or skills?PreviousNextWhat field or service skills do you have? (Check all that apply)Fiberglass Duct InstallationSheet Metal Duct InstallationPlumbingPipefittiingWeldingLight Commercial Equipment InstallResidential Equipment InstallUnit Start-Up WiringEPA CertifiedList any professional licenses you posses:PreviousNextPlease use this space below to summarize any additional experience or skills that help qualify you for the position for which you are applying. You may exclude any activities that reflect personal characteristics protected by law (e.g., religion, race, disability, etc)AgreementPlease read carefully before signing this application.I understand that any false or misleading statements or omissions in the application will be sufficient cause for rejection of my application of my application if Pro-Tech has not employed me and for immediate dismissal if Pro-Tech has employed me. I hereby authorize Pro-Tech to investigate all statements in this application and to secure any necessary information from all my employers and references. I also authorize Pro-Tech to conduct a background check, which may include criminal and credit history, as legally permitted. *Yes, I understandI understand that I will be required to pass a pre-employment drug screen. I understand that any offer of employment is contingent upon receipt of a satisfactory report concerning my credit, academic credentials, employment references and, depending on the position offered, physical examination. *Yes, I understandIn the event of my employment with Pro-Tech, I will be subject to Pro-Tech's drug and alcohol testing policy during my employment. I understand that, if hired, I will be required to provide documentation of both my identity and employment eligibility in the United States in accordance with the Immigration Reform and Control Act of 1986. I further understand that my employment will be subject to various guidelines, rules and regulations of Pro-Tech as stated in the employee handbook, any policy and procedure manual or other communications to employees. *Yes, I understandI understand that nothing in this employment application, in Pro-Tech's policy statements or personal guidelines, or in my communications with any Pro-Tech official is intended to create an employment contract between Pro-Tech and me. I also understand that Pro-Tech has the right to modify its policies without giving me any notice of the changes. No promised regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Pro-Tech unless is is made in writiing and signed by a Pro-Tech officer. I understand that no such promise or guarantee is binding upong Pro-Tech unless it is made in writing and signed by a Pro-Tech officer. I understand that if an employment relatiionship is established, I have the right to terminate my employment at any time for any reason. I also understand that Pro-Tech retains the right to terminate my employment at any time for any reason. *Yes, I understandI hereby acknowledge that I have read, understand and agree to the preceding statements.Yes, I understandElectronic SignatureMessageSubmit
