Application for Employment

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job function.

I. Personal Information

First Name

Middle Name

Last Name

Present Address

Permanent Address

If different from above

Phone Number

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green Card etc) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Position Applied For

Is there any information we would need to know about your name or use of another name for us to be able to check your work record? Please specify:

Do you have any relatives who are presently (or have formerly been) employed by Hot2Cold?

Yes No

How were you referred to Hot2Cold?

Have you ever been convicted of a felony?

Yes No

If yes, please explain

II. Educational History

High School

College

Technical Training

Other

III. Employment Record Please include all employment for the past five years

Company Name

Position Held

Address

Date Employed

Manager / Supervisor

Telephone

Reason For Leaving

Company Name

Position Held

Address

Date Employed

Manager / Supervisor

Telephone

Reason For Leaving

Company Name

Position Held

Address

Date Employed

Manager / Supervisor

Telephone

Reason For Leaving

Company Name

Position Held

Address

Date Employed

Manager / Supervisor

Telephone

Reason For Leaving

Company Name

Position Held

Address

Date Employed

Manager / Supervisor

Telephone

Reason For Leaving