910 Columbus Avenue Sandusky, Ohio 44870

Toll Free: (800) 953-4525

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Job Application

Application for Employment

“An Equal Opportunity Employer”

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in

employment based on race, age, color, sex, religion, national origin, or other protected classifications.

(If not filling in an online copy of this form, please print.)

Date:

Personal Data

Personal Data

Last Name

First Name

Middle Name

SS#

Phone:

Street Address

City

State

Zip

Position Desired

Salary Desired

Minimum Acceptable Salary

Date Available for Employment

How did you learn of this opening?

Have you worked here before?

Yes

No

If “Yes,” please give details:

Are there any hours, shifts or days you cannot or will not work?

Yes

No

Are you willing to work overtime as required?

Yes

No

Other (If necessary, use additional sheet of paper for further explanation of any of the items below.

Other (If necessary, use additional sheet of paper for further explanation of any of the items below.)

Can you perform all the essential job function(s) of the position(s) for which you are applying, with or without reasonable accommodation?

Yes

No

Have you been convicted of a crime? (Conviction of a crime does not automatically bar employment.)

Yes

No

Explain any questions above answered “Yes.”

List business and professional certificates, licenses, patients, which you consider relevant to the job(s) for which you have applied:

List all organizations, clubs, and professional societies, etc., which you consider relevant to the job for which you have applied:

Military Service

Military Service

U.S. Forces

U.S. Forces

From:

To:

Branch:

Rank:

Education

Education

School Name:

Location:

Years Attended:

Degree(s) Received:

Major:

Other training, certification, or licenses held:

Employment History

Employment History

Employer Name & Address:

Employer Name & Address:

New Field:

Employer Address

Position title/duties, skills:

Start date:

End date:

Pay:

Per:

Supervisor:

Telephone:

Reason for leaving:

Employer Name & Address 2

Employer Name & Address:

Employer Name

Employer Address:

Position title/duties, skills:

Start date:

End date:

Pay:

Per:

Supervisor:

Telephone:

Reason for leaving:

Free Text

Employer Name & Address:

Employer Name

Employer Address

Position title/duties, skills:

Start date:

End date:

Pay:

Per:

Supervisor:

Telephone:

Reason for leaving:

Regarding this employment application, It is understood that Gundlach Sheet Metal Works Inc. reserves the privilege of contacting past employers regarding references. May we also contact your present employer at this time?

Yes

No

APPLICANT'S CERTIFICATION AND AGREEMENT (READ CAREFULLY BEFORE SIGNING.}

APPLICANT'S CERTIFICATION AND AGREEMENT (READ CAREFULLY BEFORE SIGNING.}

Opt-In 1

I certify that the answers set forth in this Application for Employment are true and complete to the best of my knowledge,

without consequential omissions of any kind whatsoever. I understand that if I am employed, false statements may result in

dismissal. I authorize the company to which I am applying to make an investigation of any of the facts set forth in this

application.

Opt-In 2

I understand that employment is "at will", which means that either the company or I may terminate the employment

relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued

on that basis. I agree to abide by employer policy and rules

Opt-In 3

I agree that any claim or lawsuit relating to my service with Gundlach Sheet Metal Works Inc. must be filed no more than six

months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of initiations to

the contrary.

My signature below is acknowledgement that I have read and understand the terms set forth on this application.

My signature below is acknowledgement that I have read and understand the terms set forth on this application.

Signature: (Your typed signature is considered valid)

Date:

Thank you for contacting us.
We will get back to you as soon as possible.

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Home
About
Commercial
Residential
Industrial Ventilation
Contact
Job Application

CONTACT INFORMATION

Address: 910 Columbus Avenue Sandusky, Ohio 44870

Port Clinton Address: 4125 E Kirk Rd Port Clinton, OH 43452

Email: service@gundlach-hvac.com

Toll Free: (800) 953-4525

Erie County: (419) 626-4525

Huron County: (419) 668-0999

Ottawa County: (419) 734-7351

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Sat - Sun: Closed

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