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HOUK Job Application

First Name	Last Name	Social Security Number
Date:	Primary Phone	Secondary Phone
Address	City	State
Zip Code	Email Address
	Drivers License Number
Have you been convicted of a crime or have you pled nolo contendere or been granted deferred adjudication within the last ten years? Yes No
If yes, list all such offenses and state date, name of court and disposition. You may omit minor violations for which you paid a fine of $50 or less.
Position Applied For
Ever worked for Houk Air Conditioning before? Yes No
If Yes, what department
If resume not available please fill out the remainder of this form. Otherwise Send Us Your Resume Allowed extensions: doc,txt,pdf Maximum Filesize: 524288 bytes
= Required

EDUCATION RECORD
Did you graduate from high school or receive a GED certificate? Yes No

Business/Technical/Vocational

School Name	Location	Hours Earned
Diploma, Degree or Certificate Earned		Major Field of Study

School Name	Location	Hours Earned
Diploma, Degree or Certificate Earned		Major Field of Study

Colleges/Universities

School Name	Location	Hours Earned
Diploma, Degree or Certificate Earned		Major Field of Study

School Name	Location	Hours Earned
Diploma, Degree or Certificate Earned		Major Field of Study

Graduate Schools

School Name	Location	Hours Earned
Diploma, Degree or Certificate Earned		Major Field of Study

School Name	Location	Hours Earned
Diploma, Degree or Certificate Earned		Major Field of Study

LICENSES

Driver's License – Check those that apply	For positions which require specific licenses, copies of licenses will be required at the time of interview.
Operators: C M	Commercial: A B C
Endorsements:: T P N H X
Expiration Date
List other current licenses, certifications, or registrations required for the position for which you are applying. Indicate types and dates received.

SPECIAL SKILLS/LANGUAGES
List Special Skills

Typing Test Score	Test Date
Languages (other than english) Speak Read Write

OTHER INFORMATION

What type of employment are you seeking: Full Time Part Time

Are you related to anyone now employed by Houk Air Conditioning? Yes No
Name Department Relationship

EMPLOYMENT RECORD
Please list all employment or volunteer experience. Begin with your present or last position and work back. Provide sufficient, qualifying experience. Please explain all periods of unemployment exceeding 90 days. Additional Information Sheets are available if needed. You may attach a resume reflecting your employment history in lieu of completing this portion of the application.

Employer	Full Time Part Time
Title	Salary
Address	City/State
Start Date	End Date
Months in Position	Supervisors Name
Supervisors Phone	Reason for Leaving
Describe responsibilities and duties you performed or skills you have that are required for the position for which you are applying.

Employer	Full Time Part Time
Title	Salary
Address	City/State
Start Date	End Date
Months in Position	Supervisors Name
Supervisors Phone	Reason for Leaving
Describe responsibilities and duties you performed or skills you have that are required for the position for which you are applying.

Employer	Full Time Part Time
Title	Salary
Address	City/State
Start Date	End Date
Months in Position	Supervisors Name
Supervisors Phone	Reason for Leaving
Describe responsibilities and duties you performed or skills you have that are required for the position for which you are applying.

= Required

All Major Credit Cards Accepted for houk air conditioning