Rand Refrigeration LLC

*Application Date:

*First Name:

*Last Name:

Mobile Phone:

*Address

*Desired Position:

Refrigeration Technician Management Clerical/Accounting

Are you currently employed?

Yes No

*Are there any restrictions on the hours/days you are able to work?

Yes No

Positions for Refrigeration Technician and Management positions REQUIRE that the employee is able to be on-call certains hours and days of the week.

If "YES," please detail your time restrictions below.

*Are there any restrictions that may prevent you from traveling? (Including local, national, and international travel)

Yes No

If "YES," please detail your travel restrictions below.

*Do you have adequate transportation?

Yes No

*Driver's License Information

Please enter your Driver's License information here, beginning with the issuing state, followed by the number. For example: Ga 55555555

*High School Attended:

Years Attended:

High School Address:

*Highest Level Obtained

Trade Diploma College Prep Diploma GED Not Completed

Check all that apply.

*Trade School/College Attended:

Years Attended:

School/College Address:

*Highest Level Obtained

Diploma Degree Certificate Not Completed

Course of Study

Please detail your course of study and hours completed if your were not awarded one of the above within your concentration area. For example: History, 60 hours

Other Certificates/Awards/Recognition/Apprenticeships

*Most Recent Employer:

*Dates Employed:

Please enter dates in MO/DAY/YR - MO/DAY/YR format.

Employer Address:

*Name of Supervisor

Supervisor Phone:

*Reason for Leaving:

If still employed, respond, "Presently employed."

Submit Your Application! By clicking "Submit," you are acknowledging that all information provided above is honest and accurate to the best of your knowledge. In addition, by clicking "Submit," you are authorizing Rand Refrigeration to conduct a drug/alcohol evaluation, criminal background check, and credit history inquiry before an invitation for employment, and at any time during employment. You are acknowledging that this is NOT an offer of employment, and only an inquiry on your part for potential employment with Rand Refrigeration.

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