Please complete the form below if you are interested in employment with North Florida AC.


*Last Name:
*First Name:
*SS #:
*Email:
*Verify Email:
*Have you ever applied to this company before?
 
If so, when?
If you have applied previously, please indicate the date.
*Pay Expected:
Please indicate your desired wages.
Please use your current address for the questions below.
*Address
*City:
*State:
 
*Zipcode:
*Home Phone:
( )   -
Business Phone:
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*Do you have reliable transportation?
 
*Position Desired:
Please indicate your desired position(s)
*Date available for employment
*Will you work overtime if asked?
 
*Will you work Weekends?
 
If applying for a technician position, do you have a truck or van?
 
Do you have your own tools?
 
*Are you legally eligible to work in the US?
 
*Are you willing to travel?
 
Education
Graduate School
Name and Location
Course of Study
Years Completed
Cert, Diploma or Degree
 
College
Name and Location
Course of Study
Years Completed
Cert, Diploma or Degree
 
Business/Trade/Technical
Name and Location
Course of Study
Years Completed
Cert, Diploma or Degree
 
High School
Name and Location
Course of Study
Years Completed
Cert, Diploma or Degree
 
EMPLOYMENT HISTORY- (Most Recent Jobs First)
Company:
Company Address:
Supervisor:
Phone:
( )   -
Please provide the phone number for us to use to reach your supervisor at this company,
Employment Dates:
From:The date (or approximate date) your employment began with this company To: The date (or approximate date) your employment ended with this company
May we contact this supervisor/employer?
Yes
No
Weekly Pay:
Start: Last:
Reason for leaving:
State Job title and describe your work:
Company:
Company Address:
Supervisor:
Phone:
( )   -
Please provide the phone number for us to use to reach your supervisor at this company,
Employment Dates:
From:The date (or approximate date) your employment began with this company To: The date (or approximate date) your employment ended with this company
May we contact this supervisor/employer?
Yes
No
Weekly Pay:
Start: Last:
Reason for leaving:
State Job title and describe your work:
Company:
Company Address:
Supervisor:
Phone:
( )   -
Please provide the phone number for us to use to reach your supervisor at this company,
Employment Dates
From:The date (or approximate date) your employment began with this company To: The date (or approximate date) your employment ended with this company
May we contact this supervisor/employer?
Yes
No
Weekly Pay:
Start: Last:
Reason for leaving:
State Job title and describe your work:
*Have you been convicted of any crime in the past ten years, excluding misdemeanors and summary offenses, which have not been annulled, expunged, or sealed by a court?
*Please Select If Yes, Please describe below
 
If yes, describe in full:

APPLICANT'S SIGNATURE
By submitting this on-line application form, you agree that you have read and understand the statement below. Your submission will be considered a digital signature.

Please read and understand this statement before submitting your application:

The information I have provided in this application for Employment is true, correct and complete. False, incomplete, or misrepresented information of any kind will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment. I authorize the employer to contact and obtain information about me from my previous employers, educational institutions and “references” I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.


This application is not an employment agreement. If I accept an offer of employment I understand the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law.

If you are successful candidate, you will be asked to sign a copy of this application.

*I have read and understand the terms of this online application: You must agree to submit this application.
YES
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