Employment Application

PERSONAL INFORMATION
First Name: Last Name:
Address:
Email:
Date of birth: Social security number: - -
TX drivers license: Phone number: () -
Are you 18 years or older? Are you EPA certified?
Names of friends or relatives currently employed by Norfoxx Refrigeration:
Have you been convicted of a felony in the past 5 years?
If yes, please explain:
Position Preferences
What position are you applying?
Salary desired: per (specify per hour, week or year)
Could you work overtime/weekends if required?
What date can you start work?
Could you travel if required for this position? % of time
EDUCATION
High School
School name: City and state:
Degree or # of years completed:
Major or subject: Grade Point Average:
College / Trade School
School name: City and state:
Degree or # of years completed:
Major or subject: Grade Point Average:
List any certificates earned or in progress and/or any additional training programs not included in your formal education:
List any Professional Affiliations to which you belong:
EMPLOYMENT HISTORY
Name of present employer:
Address:
City: State: Phone:
Supervisor's name and title:
Position title:
Reason for leaving:
Salary: Per Hour/Week/Month/Year
Dates of employment: From To
May we contact your employer?
 
Name of previous employer:
Address:
City: State: Phone:
Supervisor's name and title:
Position title:
Reason for leaving:
Salary: Per Hour/Week/Month/Year
Dates of employment: From To
May we contact your employer?
 
Name of previous employer:
Address:
City: State: Phone:
Supervisor's name and title:
Position title:
Reason for leaving:
Salary: Per Hour/Week/Month/Year
Dates of employment: From To
May we contact your employer?
REFERENCES
NameTitleCompanyPhoneRelationship
All hiring and employment at Norfoxx Refrigeration, Inc is at will.
I understand this application is not an employment contract, nor can it be used to create one. Employment by Norfoxx Refrigeration, Inc has no specific term and may beterminated by the employee or Norfoxx Refrigeration, Inc. with or without notice. I acknowledge that Norfoxx Refrigeration,Inc has not made any promises or representations that differ from those contained in this paragraph. Norfoxx will be checking MVR’s prior to employment.

I understand I must provide satisfactory documents to establish my identity and right to work in the United States, if I am offered a position with Norfoxx Refrigeration, Inc, and that failure to provide this evidence will result in the termination of my employment. I certify that the information I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be withdrawn or my subsequent employment with Norfoxx Refrigeration, Inc may be terminated.
Signature: Date: