Employment Application To apply for an open position with Mike’s Heating and Air Conditioning, you can fill out and submit the form below or download and fill out our application Employment Form Fields marked with an * are required. Position Applying For:*Date* Name* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell Phone*Email* Education & SkillsHigh SchoolGraduated/GED?Commercial or Trade SchoolProgram Completed?College or UniversityDegree/Major?Computer Skills/CertificationsPlease note special skills or experience which should be considered.Employment History:1) EmployerPosition HeldStart Date Type of BusinessEnd Date Reason for Employment TerminationSupervisor's Name and Number2) EmployerPosition HeldStart Date Type of BusinessEnd Date Reason for Employment TerminationSupervisor's Name and Number3) EmployerPosition HeldStart Date Type of BusinessEnd Date Reason for Employment TerminationSupervisor's Name and Number4) EmployerPosition HeldStart Date Type of BusinessEnd Date Reason for Employment TerminationSupervisor's Name and Number ReferencesReferencePhoneReferencePhoneReferencePhoneIn connection with, and duration of my employment, (including contract for services) with you, I understand that investigative background inquiries are to be made on myself including consumer, criminal, driving, education, and other reports. These reports will include information as to my character, work habits, performance and experience along with reasons for termination of past employment from previous employers. Further, I understand that you will be requesting information from various federal, state, and other agencies which maintain records concerning my past activities relating to my driving, credit, civil, and other experiences as well as claims involving me in the files of insurance companies. This information will, in total or in part, be obtained from: By filling out my information below, I authorize, without reservation, any party or agency contacted by this employer to furnish the above mentioned information. Moreover, I hereby release Mike’s Heating and Air Conditioning and any Agent acting on behalf of Mike’s Heating and Air Conditioning from any and all liability of whatsoever nature by reason of requesting such information from any person.Full Name*Birth Name*Social Security Number*Date of Birth***Date of Birth is being requested in order to obtain accurate retrieval of records** Driver's License Number*State of Issuance*Applicant Signature*I certify that the statements made in this application are true and correct to the best of my knowledge and understand that providing false information could result in denial of employment or termination of my employment, if hired. I understand that if I am employed, my employment is “at will” and can be terminated at any time by myself or my employer with or without cause. In addition, the first 3 months of my employment is considered to be probationary. I further understand that none of Mike’s Heating and Air Conditioning personnel policies should be construed as a contract or as a guarantee of continued employment and that Mike’s Heating and Air Conditioning may change policies, wages, benefits, or conditions at any time. This iframe contains the logic required to handle Ajax powered Gravity Forms.