Online Application

CONTROLLED AIR, INC IS AN EQUAL OPPORTUNITY EMPLOYER. THIS MEANS THAT THE COMPANY CONSIDERS ALL APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, NATIONAL ORIGIN, RELIGION, AGE, SEX, MARITAL STATUS, PREGNANCY, SEXUAL ORIENTATION, THE PRESENCE OF NON-JOB RELATED MEDICAL CONDITION OR DISABILITY, VETERAN STATUS OR ANY OTHER LEGALLY PROTECTED CLASS.
Date*
MM slash DD slash YYYY
Personal Information
Name*
First Middle Last
Current Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Other/ Cell Phone
Email*
Are you legally eligible for employment in the United States?*
(If Yes, verification will be required.)
- Yes
- No
Are you under the age of 18?*
- Yes
- No
Are you requesting any accommodation to complete the application process?*
- Yes
- No
Employment Desired
Job Position applied for:*
Please write in position applying for:
Date Available*
MM slash DD slash YYYY
Salary Desired:
Interest*
- Regular/Full Time
- Part-Time
- Temporary
- Summer
- Other
Other
Were you referred by any of the following?
Please provide details of your referral:
Name of newspaper, employee, details of other.
Are you currently employed?*
- Yes
- No
If so, may we inquire of your present employer?*
- Yes
- No
Have you ever applied to work for Controlled Air before?*
- Yes
- No
If Yes, When?
Were you hired?
- Yes
- No
Employment Information
Are you physically and mentally able to perform the job applied for?*
- Yes
- No
If no, is there any accommodation that would allow you to perform this job?
- Yes
- No
Can you work overtime?*
- Yes
- No
Can you work overtime without prior notice?*
- Yes
- No
Can you work on Saturday?*
- Yes
- No
Can you work on Sunday?*
- Yes
- No
Can you travel out of state if required by this position?*
- Yes
- No
Driver Information
Many positions at Controlled Air require employees to drive. If you are applying for a driver’s position or a position which requires driving, please answer the following:
Do you have a valid driver’s license?*
- Yes
- No
License Number*
State*
Expiration Date*
Do you have a CDL?*
- Yes, Class A
- Yes, Class B
- No
Has your license ever been revoked or suspended?*
- Yes
- No
Educational History
Elementary/Middle School

School Name
Year Completed
Diploma/Degree Received?
- Yes
- No
Subjects Studied
High School

School Name*
Year Completed*
Diploma/Degree Received?*
- Yes
- No
Subjects Studied*
College

School Name
Year Completed
Diploma/Degree Received?
- Yes
- No
Subjects Studied
Trade School

School Name
Year Completed
Diploma/Degree Received?
- Yes
- No
Subjects Studied
Other

School Name
Year Completed
Diploma/Degree Received?
- Yes
- No
Subjects Studied
Describe specialized training, apprenticeship, skills or extra-curricular activities that relate to the position for which you are applying (omit any activities that would disclose your race, religion or other protected class):
Employment History
List below all of your employers for the past five years.
Position 1

Start Date
End Date
Name & Address of Employer
Salary
Position
Reason For Leaving
end position 1
Position 2

Start Date
End Date
Name & Address of Employer
Salary
Position
Reason For Leaving
end position 2
Position 3

Start Date
End Date
Name & Address of Employer
Salary
Position
Reason For Leaving
end position 3
Position 4

Start Date
End Date
Name & Address of Employer
Salary
Position
Reason For Leaving
end position 4
Position 5

Start Date
End Date
Name & Address of Employer
Salary
Position
Reason For Leaving
end position 5
Position 6

Start Date
End Date
Name & Address of Employer
Salary
Position
Reason For Leaving
end position 6
Which of these jobs did you like best?
What did you like most about this job?
If you need more space for your last five year, please write it in below:
References
Give names of three persons not related to you, whom you have known for at least one year, who can provide a reference:
Reference 1

Name 1
First Last
Address
City State
Phone
Occupation
Years Known
reference end
Reference 2

Name 2
First Last
Address
City State
Phone
Occupation
Years Known
reference end
Reference 3

Name 3
First Last
Address
City State
Phone
Occupation
Years Known
reference end
State any additional information you feel may be helpful to us in considering your application:
TO ALL APPLICANTS: PLEASE READ THIS SECTION CAREFULLY AND SIGNIFY YOUR UNDERSTANDING BY SIGNING YOUR NAME IN THE SPACE PROVIDED.

I certify that all of the statements made by me on this application for employment are true, correct, and complete to the best of my knowledge. I understand that any falsification or material omission of fact on this application shall lead to refusal of employment or dismissal from employment.
I authorize the Company to check the references provided, and further authorize the investigation of all matters contained in this application to verify its accuracy.

I understand that the Company follows an “EMPLOYMENT AT WILL” policy, in that, I or the Company, may terminate my employment at any time, with or without notice, for any reason consistent with applicable State or Federal law. I understand that all employment appointments are “introductory,” during which “introductory period,” I must demonstrate my fitness for continued employment. I further understand that successful completion of the introductory period does not guarantee continued employment.

I understand that, as part of the application process, the Company conducts thorough background checks (which may include a check of my criminal history) on prospective employees. I agree that, if contacted with respect to such background check, that I will fully cooperate and provide any information requested.

I understand that I am not required to disclose the existence of any arrest, criminal charge or conviction, the records of which have been erased pursuant to Connecticut General Statutes sections 46b-146, 54-76o or 54-142a. The applicant is not required to disclose the existence of criminal records that are subject to erasure pursuant to Connecticut General Statutes sections 46b-146, 54-76o and 54-142a which are records pertaining to a finding of delinquency or that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed or nolled, a criminal charge for which the person has been found not guilty or a conviction for which the person received an absolute pardon, and The applicant is not required to disclose the existence of criminal records have been erased pursuant to Connecticut General Statutes sections 46b-146, 54-76o or 54-142a since the applicant shall be deemed to have never been arrested within the meaning of the general statutes with respect to these proceedings so erased and may so swear under oath.

As a condition of employment, I understand that information relative to the status of any driving duties, particularly insurability of an employee who drives as part of his/her job, is an important job function. In the event that I am called upon to drive as part of my job functions with the Company then as a condition of my employment, I hereby authorize my employer and its insurance agent to ask for and receive information relative to the status of my motor vehicle operator’s license and motor vehicle history in every State in which I have held a motor vehicle operator’s license.

This authorization is valid from the date of my signature below throughout the term of my employment in which driving a Company motor vehicle is an essential job function. I understand that if at any time (now or in the future) the Company cannot insure me due to my motor vehicle operator history, my employment may be terminated.
Signature
Date
MM slash DD slash YYYY

Online Application

Personal Information

Employment Desired

Employment Information

Driver Information

Educational History

Elementary/Middle School

High School

College

Trade School

Other

Employment History

Position 1

end position 1

Position 2

end position 2

Position 3

end position 3

Position 4

end position 4

Position 5

end position 5

Position 6

end position 6

References

Reference 1

reference end

Reference 2

reference end

Reference 3

reference end