—Please choose an option—Appliance Repair TechnicianHVAC Technician
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—Please choose an option—Please select the highest grade completedGrades 1 through 1112th grade—no diplomaRegular high school diplomaGED or alternative credential/Trade SchoolSome college credit, but less than 1 year of college1 or more years of college credit, no degreeAssociates degreeBachelor’s degreeMaster’s degreeProfessional degree beyond bachelor’s degree or higher
Are you licensed for the job you are applying? YesNo
Has your license or certification ever been revoked or suspended YesNo
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—Please choose an option—Full TimePart TimeTemporary
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Have you ever been employed by this organization in the past? YesNo
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States. YesNo
Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony? YesNo
Do you have a driver's license? YesNo
Have you had any accidents during the past three years? YesNo
Have you ever been in the Armed Forces? YesNo
Are you now a member of the National Guard? YesNo
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I CERTIFY THAT ALL ANSWERS AND STATEMENTS ON THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT, SHOULD THIS APPLICATION CONTAIN ANY FALSE OR MISLEADING INFORMATION, MY APPLICATION MAY BE REJECTED OR MY EMPLOYMENT WITH THIS COMPANY TERMINATED. YesNo
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