Lennox Air Handlers

OPHC Application

Contact Information      
* Name: * Address:
* City: * State:
* Zip: * Phone:
* Date Available for Employment:
* Position Applying For:  
     
Upload Your Resume
If you upload your resume, you don't have to fill out the rest of the application.
 
     
1. If employed and under 18, can you furnish a work permit? YES
NO

2. Have you ever been employed by this company? YES
NO

3. Are you employed now? YES
NO

4. May we contact your present employer?
If yes, give name:
YES
NO

5. Do you have a valid driver's license in this state?
License #:
YES
NO

6. Can you perform the essential functions of the job(s) for which you are applying? YES
NO

7. Are you available to work?                              FULL TIME     PART TIME     OVERTIME

8. Have you been convicted of a felony?
(Please note that a "YES" answer will not bar you from consideration for employment)
YES
NO
If YES, please explain:
 
This company is an equal employment employer. All applicants will be considered without regard to age, color, national origin, religion, disability, sex or other protected status in accordance with applicable federal and state equal employment opportunity laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of a job.
         
         
Education
  Elementary High College Graduate
School Name:
Years Completed:
Course of Study:
         

Special Skills, Qualifications and Considerations
Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking.

         
         
References (you must supply at least 2)
  Name Relationship Years Known Telephone
1.
2.
3.
         

Employment Experience
Start with your present or last job. List your last four (4) jobs in order. Do not omit any job.

Employer:   Supervisor's Name:
Address:   Your Job Position:
Telephone Number:   Employment Dates:
Your Salary: Starting-Ending   Duties:
What did you like most about your job?
What did you like least about your job?
Reason for leaving:
   
Employer:   Supervisor's Name:
Address:   Your Job Position:
Telephone Number:   Employment Dates:
Your Salary: Starting-Ending   Duties:
What did you like most about your job?
What did you like least about your job?
Reason for leaving:
   
Employer:   Supervisor's Name:
Address:   Your Job Position:
Telephone Number:   Employment Dates:
Your Salary: Starting-Ending   Duties:
What did you like most about your job?
What did you like least about your job?
Reason for leaving:
   
Employer:   Supervisor's Name:
Address:   Your Job Position:
Telephone Number:   Employment Dates:
Your Salary: Starting-Ending   Duties:
What did you like most about your job?
What did you like least about your job?
Reason for leaving:
         
I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true and correct to the best of my knowledge and ability. I understand that any omission (including any misstatement( of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.
* Initial here:
         
I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.
* Initial here:
         
I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation.
* Initial here:
         
       
         

 

 

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Address: 16172 Metcalf Overland Park, KS 66085   |   Phone: 913-649-0303
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