Amy Home Services - Plumbing, Heating, Cooling, Electric, Serving McHenry, Kane and Lake Counties IL

CAREERS AT AMY
To apply for a position at Amy, please complete the following form.
A Human Resources Specialist will be in contact with you.

Contact Information

*Name
*Address

*City	State Zip
*Phone
*Email Address

How did you learn about us?
Other, please specify:

Employment Information

Type of Employment

Have you ever been employed by our company? Yes No
If yes, specify Dates Employed:

If you are under 18, can you provide proof of your eligibility to work? Yes No

Are you currently employed? Yes No
If No, When were you last employed?
May we contact your present employer? Yes No

Are you prevented from lawfully becoming employed in this country because of Visa? (Proof of citizenship will be required upon employment) Yes No

When can you begin working? - Please specify date

Are you currently on 'Layoff Status' and subject to recall? Yes No

Can you travel if the job requires it? Yes No

Have you ever been bonded? Yes No
If so, specify bonding company:

Have you been convicted of a criminal offence for which a pardon has not been given? (Conviction will not necessarily disqualify an applicant from employment) Yes No
If Yes, please explain:

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation the activities involved in the job or occupation for which you have applied? Yes No

Education Information

	School Name	Course Name	Dates	Years Completed
Elementary/Middle
High School
College Level
Post-Graduate
Other Education/Training:

Languages

English

Speak: Fair
Good
Fluent

Read: Yes No

Write: Yes No

Spanish

Speak: Fair
Good
Fluent

Read: Yes No

Write: Yes No

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, religion, gender, national origin, disabilities, or other protected status.

Company Name
Address
Phone
Job Title
Supervisor Name
Dates Employed	from to
Salary	starting ending
Reason for Leaving
Work Perfomed

Company Name
Address
Phone
Job Title
Supervisor Name
Dates Employed	from to
Salary	starting ending
Reason for Leaving
Work Perfomed

Company Name
Address
Phone
Job Title
Supervisor Name
Dates Employed	from to
Salary	starting ending
Reason for Leaving
Work Perfomed

References - Please provide 2

Name
Address
Phone
.
Name
Address
Phone

Additional Information or Comments

Add any additional information here, that you believe will be helpful. You may be asked to provide hard copies of additional information, such as your resume or Employee Data Cards.

Terms of Agreement Please read and check the box below.

I certify that I have read and understand all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test, if reasonable grounds exist.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason. I understand that misrepresentation or omission of information or facts may result in my rejection or dismissal. If hired, I agree to abide by all the rules and policies of the employer.

This certifies that this application was completed by me, and that all entries on it and information it are true and complete to the best of my knowledge.

I have read and agree to the above terms. *