Career Opportunities

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Career Opportunities

Federal and State Laws prohibit discrimination in Employment because of Race, Religion, Age, Sex, Marital Status, National Origin or Disability.

First Name *

Last Name *

Email *

Address *

City *

State *

Zip *

Phone Number (with area code) *

Elligibility

Are you a United States Citizen or alien who has the Legal Right to work in the job which you are applying? Yes No

If employed, can you verify that you are 18 years of age or older? Yes No

Have you ever been employed by Duct & Vent Cleaning of America, Inc.? Yes No

Do you have any relatives or friends employed by Duct & Vent Cleaning of America, Inc.? Yes No

If you answered yes, please list who:

Have you ever been convicted of a crime other than a minor traffic violation? Yes No

If yes, please explain:

Position and Hours

What type of work are you applying for? Full time Part time

Please indicate the hours you are available to work each day of the week:

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Date Available to Start: *

Will you be willing to work overtime or extra hours? * Yes No

How did you hear of this position? *

Emergency Contact In Case of an Emergency, notify the following individual who has the authority to act on my behalf.

Emergency Contact Name: *

Emergency Contact Address: *

Emergency Contact City: *

Emergency Contact State: *

Emergency Contact Zip: *

Emergency Contact Phone Number: *

Education

High School *
Please provide number of years attended and graduation status.

College *
Please provide number of years attended and graduation status.

Trade/Technical/Other *
Please provide number of years attended and graduation status.

Employment History 1 (List all Present and Past Employment, Beginning with Most Recent)

Employer *

Address: *

City: *

State: *

Zip: *

Telephone(with area code): *

Position: *

Supervisor's Name: *

Hire Date: *

End Date: *

Reason for Leaving: *

Employment History 2 (List all Present and Past Employment, Beginning with Most Recent)

Employer

Address:

City:

State:

Zip:

Telephone(with area code):

Position:

Supervisor's Name:

Hire Date:

End Date:

Reason for Leaving:

Employment History 3 (List all Present and Past Employment, Beginning with Most Recent)

Employer

Address:

City:

State:

Zip:

Telephone(with area code):

Position:

Supervisor's Name:

Hire Date:

End Date:

Reason for Leaving:

Personal References 1 Please provide your first personal reference.

Name

Address:

City:

State:

Zip:

Telephone(with area code):

Personal References 2 Please provide your second personal reference.

Name

Address:

City:

State:

Zip:

Telephone(with area code):

Personal References 3 Please provide your third personal reference.

Name

Address:

City:

State:

Zip:

Telephone(with area code):

Professional References 1 Please provide your first personal reference.

Name

Address:

City:

State:

Zip:

Telephone(with area code):

Professional References 2 Please provide your second personal reference.

Name

Address:

City:

State:

Zip:

Telephone(with area code):

Professional References 3 Please provide your third personal reference.

Name

Address:

City:

State:

Zip:

Telephone(with area code):

Disclaimer I understand that any employment by Duct & Vent Cleaning of America, Inc., will be on a probationary basis. If employed by Duct & Vent Cleaning of America, Inc. I will abide by its rules and regulations and understand that they may be changed at any time. I further understand that my employment is at will and can be terminated with or without cause and with or without notice, at any time, at the option of either the Company or myself. I give permission to contact any or all of my previous employers or references for information. I authorize the Company to make any necessary investigations into my personal history and authorize all persons, schools, companies, corporation, credit bureaus, law enforcement agencies, and doctors to supply any information concerning my background, provided state law permits, I further agree to submit to alcohol and/or drug screening test and polygraph examinations where and whenever legal, if requested of me at any time prior or during my employment. All of the foregoing information I have supplied in this application is a full and complete statement of the facts, and it is understood that if any falsification or omission of material facts be discovered, it will constitute grounds for dismissal upon discovery thereof. This application is valid 30 days from today's date.

By checking the box below, I have read and understand the terms and conditions of employment. I Agree

Duct & Vent Cleaning of America, Inc. is an equal opportunity employer.

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Duct & Vent

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Duct & Vent Cleaning of America, Inc.
311 Page Boulevard
Springfield, MA 01104

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800-442-8368

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