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Lanham Heating & Cooling LLC

738 S Old 3 Unit B, Rushville, IN 46173
lanhamhtng_clng@frontier.com

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765-932-8787

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LANHAM HEATING AND COOLING LLC

738 S OLD STATE ROAD 3, UNIT B

RUSHVILLE, IN 46173

PHONE: (765) 932-8787

WEBSITE: LANHAMHEATINGCOOLING.COM

EMAIL: LANHAMHTNG_CLNG@FRONTIER.COM

Employment Application

Last Name

First Name

M.I

Date

Address

Phone:

Email

Date Available

Social Security No

Desired Salary

Position Applied for

Are you a citizen of the United States?

Yes

No

Have you ever worked for this company?

Yes

No

Have you ever been convicted of a felony?

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

If yes, when?

If yes, explain:

EDUCATION

EDUCATION

High School

Address

From

To

Did you graduate?

Yes

No

Diploma

College:

Address

From

To

Did you graduate?

Yes

No

Degree

Other

Address

From

To

Did you graduate?

Yes

No

Degree

Free Text

REFERENCES

1st Reference

1st Reference

Full Name

Relationship

Company

Phone

Address

2nd Reference

2nd Reference

Full Name

Relationship

Company

Phone

Address

Free Text

3rd Reference

Full Name

Relationship

Company

Phone

Address

Free Text

PREVIOUS EMPLOYMENT

Company

Phone

Address

Supervisor

Job Title

Startling Salary $

Ending Salary $

Responsibilities

From

To

Reason For Leaving

May we contact your previous supervisor for a reference?

Yes

No

Free Text

--

Company

Phone

Address

Supervisor

Job title

Starting Salary $

Ending Salary $

Responsibilities

From

To

Reason For Leaving

May we contact your previous supervisor for a reference

Yes

No

Free Text

--

Company

Phone

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From

To

Reason For Leaving

May we contact your previous supervisor for a reference?

Yes

No

Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain

Free Text

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release

ATTACH YOUR SIGNATURE HERE (CLICK THIS)

Date

Thank you for contacting us.
We will get back to you as soon as possible.

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Home
About Us
Product
Heating Services
Air Conditioning Services
Promotion
Testimonials
Contact Us
Gallery

CONTACT INFORMATION

Address:
738 S Old 3 Unit B, Rushville, IN 46173
Phone:
765-932-8787
Email:
info@lanhamheatingcooling.com

OUR LOCATION

CONTACT INFORMATION

Address:
738 S Old 3 Unit B, Rushville, IN 46173
Phone:
765-932-8787
Email:
info@lanhamheatingcooling.com

OUR LOCATION

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