A career with Mulligan Heating

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state, or local laws.

Application for Employment

Name *

Birth Date

Phone

Cell Number

Address *

How long have you lived there?

City *

State / Province / Region *

Zip Code *

Emergency Contact Person

Emergency Contact Number

[Label] Work Preferences

Work Preferences

Desired Hourly Rate

Date you can start if hired

Type of employment desired?

If Part Time, specify hours.

Are you willing to work Overtime?

Position Applied for?

Can you lift 60lbs?

Can you lift 100lbs?

If under the age of 18, can you produce a necessary work certificate at the time of employment?

Have you previously applied for employment with this company?

If Yes, When?

Have you ever been employed with this company?

If Yes, provide dates and reason for separation

[Label] Criminal History

Criminal History

Have you ever been arrested?

If Yes, what for and when? List each occurrence

Have you ever been convicted of a felony?

If so, for what and when was the conviction? List each occurrence

Have you ever been in a car accident?

If so, was it legally your fault? When did it happen? List each occurrence

[Label] Employment History

Employment History

Have you ever filed a worker's comp. claim?

If so, explain and include when each occurrence happened

Have you ever been terminated or asked to resign from any job?

Has your employment ever been terminated by mutual agreement?

Have you ever been given a choice to resign rather than being terminated?

If you answered yes to any of the questions, please explain the circumstances of each occasion

List all special skills that you feel qualify you for the job for which you are applying for

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High School Education

School Name & Location

Did you earn a degree or certificate?

High School Education

College Education

School Name & Location

Course Of Study

Did you graduate?

# Of Years Completed

Did you earn a degree or certificate?

[Label] Technical Trade

Technical/Trade

School Name & Location

Course Of Study

Did you graduate?

# Of Years Completed

Did you earn a degree or certification?

[Label] Work Experience

Work Experience

[Disclaimer] Work Experience

Please list the names of your current and previous employers in order with the current or most recent employer first. Account for all periods of time including any period of unemployment. If self-employed, supply firm name and business referenced. You may include verifiable work performed on a volunteer basis, internships, or military. Your failure to completely respond to each inquiry may disqualify you for future consideration of employment.

[Label] Employer 1

Employer 1

Employer Name

Address

City

Type Of Business

Phone

Dates Employed

Job Title

Duties

Supervisors Name

May We Contact?

If No, Why Not?

Starting Wage

Final Wage

Reason For Leaving

How much notice did you give when resigning? If none, explain

[Label] Employer 2

Employer 2

Employer Name

Address

City

Type Of Business

Phone

Dates Employed

Job Title

Duties

Supervisors Name

May We Contact

If No, Why Not?

Starting Wage

Final Wage

Reason For Leaving

How much notice did you give when resigning? If none, explain

[Label] Employer 3

Employer 3

Employer Name

Address

City

Type Of Business

Phone

Dates Employed

Job Title

Duties

Supervisors Name

May We Contact

If No, Why Not?

Starting Wage

Final Wage

Reason For Leaving

How much notice did you give when resigning? If none, explain

[Label] Your Reference

Your Reference

[Disclaimer] Your Reference

References: Please List the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer references

References

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[Disclaimer] Personal Reference

Personal References: Please List the name of personal reference ( not previous employers or relatives) who know you well that we may contact

Personal References

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I understand that neither this application nor any communication by management representative is intended to create or does create a contract of employment, offer, or promise of employment for a definite term. I acknowledge that if hired, employment is on at-will basis in accordance with state law. This means, MULLIGAN HEATING INC. is free to terminate my employment at any time, with or without cause or advance notice. I agree to conform to the rules and regulations of MULLIGAN HEATING, INC., and I understand that the company has complete discretion to modify such rules and regulations at any time.

I understand and agree that driving is a requirement of the job for which I am applying. My employment and/or continued employment is contingent on possessing a valid driver’s license and automobile liability insurance in an amount equal to the minimum required by Michigan state Law.

I understand that MULLIGAN HEATING, INC. is a drug free workplace. I understand that if a pre-employment drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to random drug testing and or post-accident drug/alcohol testing to comply with MULLIGAN HEATING, INC. policies.

If employed by MULLIGAN HEATING, INC., I understand and agree that the Company, to the extent permitted by law, I may be required to sign confidentiality, non-complete, and/or conflict of interest statement.

I certify that all information on this application, my resume, and any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any false information may result in disqualification from consideration for employment or if employed; disciplinary action or dismissal may occur.

[Terms & Conditions]

I understand the Terms & Conditions Written Above