Job Application

EMPLOYMENT APPLICATION

Please complete the entire application

1. Employer Information

 Juliano Air Conditioning, Inc.

 4112 Kenilworth Blvd.

 Sebring, FL 33870

 863-385-4969

It is the policy of Juliano Air Conditioning, Inc. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

2. Applicant Information

3. Emergency Contact

Who should be contacted if you are involved in an emergency?

12. Background Information

Due to the terms and conditions of Contracts we are currently subject to we are unable to employ anyone with felony charges or convictions.

15. Applicant’s Education and Training

16: References

List any two non-relatives who would be willing to provide a reference for you.

17. Previous Employment (begin with most recent position)

1. Date of employment

2. Date of employment

3. Date of employment

CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I am aware that any omissions, falsifications, misstatements, or misrepresentations above will be the basis for rejection of my application, or if employment commences, immediate termination. I understand that any information I give may be investigated as allowed by law.

I authorize Juliano Air Conditioning, Inc. to contact former employers and education organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.