Apply Online - Choice Aire

Name

Address (Number, street and apt. or suite number)

Address Line 1

City

State

Zip Code

Home Phone Number

Cell Phone Number

Driver's License Number

Experience / Position Desired

EPA Certified for Refrigerant?

Previous Employment

Employer 1 *

Employer 1

Employer 1 Name

Contact Names/Phone - Employer 1

Years of Service - Employer 1

Employer 2 *

Employer 2

Name - Employer 2

Contact Names/Phone - Employer 2

Years of Service - Employer 2

Employer 3 *

Employer 3

Name - Employer 3

Contact Names/Phone - Employer 3

Years of Service - Employer 3

Education

School 1 *

School 1

Name - School 1

Years Attended - School 1

Completion Date - School 1

School 2 *

School 2

Name - School 2

Years Attended - School 2

Completion Date - School 2

School 3

Name - School 3

Years Attended - School 3

Completion Date - School 3

School 4

Name - School 4

Years Attended - School 4

Completion Date - School 4

Ever been convicted of a felony?

Wage Desired

Do you need benefits?

Are you a U.S. Citizen?

Do you have reliable transportation?

Marital Status

How long have you lived at your current address?

Have you ever been fired from a job?

TERMS: BY CHECKING THE BOX BELOW YOU ARE PROVIDING CONSENT FOR CHOICE AIRE TO INQUIRE ABOUT YOUR BACKGROUND, DRIVING RECORD AND SWEARING THAT ALL INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE

I AGREE TO THE TERMS AND CONDITIONS ABOVE

Online Application