Application | Comfort Systems of Virginia, Inc.

Position(s) Applying For*
Date of Application*
Date Format: MM slash DD slash YYYY
Resume Upload*
Accepted file types: doc, docx, pdf.
Referral Source
- Social Media/Advertisement
- Relative
- Inquiry
- Employment Agency
- Friend
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
If you are under 18 years of age, can you provide required proof of your eligibility to work?*
- Yes
- No
Have you filed an application here before?*
- Yes
- No
If yes, give date*
Date Format: MM slash DD slash YYYY
Do you have any friends or family currently employed by Comfort Systems of Virginia, Inc.?*
- Yes
- No
Are you currently employed?*
- Yes
- No
May we contact your present employer?*
- Yes
- No
Can you provide proof that you are a US citizen?*
Proof of citizenship or immigration status will be required upon employment
- Yes
- No
Are You Available To Work*
- Full-Time
- Part-Time
- Temporary
Have you ever been convicted of a Misdemeanor or Felony?*
- Yes
- No
If yes, please briefly describe the situation.*
Please Up To List 3 References Below*
Name Phone Company Relationship
Education
High School
Name and Address of School Course of Study Number of Years Completed Diploma Degree
Undergraduate College
Name and Address of School Course of Study Number of Years Completed Diploma Degree
Graduate Professional
Name and Address of School Course of Study Number of Years Completed Diploma Degree
Other (Specify)
Name and Address of School Course of Study Number of Years Completed Diploma Degree
Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national orgin, disabilities or other protected statu
Employer*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Job Title*
Supervisor*
Reason For Leaving*
Dates Employed*
Work Performed
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Reason For Leaving
Dates Employed
Hourly Rate / Salary
Work Performed
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Reason For Leaving
Work Performed
Dates Employed
Hourly Rate / Salary
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Reason For Leaving
Work Performed
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Reason For Leaving
Work Performed
Voluntary Information
VOLUNTARY APPLICANT AFFIRMATIVE ACTION INFORMATION SHEET

As an Equal Opportunity Employer, we do not discriminate on the basis of race, color, religion, sex, age, national origin, disability, genetic information, veteran status, or any other classification protected by federal, state, or local law. As a federal contractor, we comply with government regulations and affirmative action responsibilities where applicable.

Completion of this data is voluntary and will not affect your opportunity for employment. This information is solely to help us comply with government record keeping, reporting, and other legal requirements and will be kept in a confidential file separate from the Application for Employment. Thank you for your cooperation.
Referral Source
- Advertisement
- Friend
- Relative
- Walk-In
Sex
- Male
- Female
Race / Ethnicity
- Hispanic or Latino - A person of Cuban, Meican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.)
- White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
- Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.
- Native Hawaiin or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
- American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South American (including Central America), and who maintain tribal affiliation or community attachment.
- Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above fice races.
Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:
- Blindness
- Autism
- Bipolar disorder
- Post-traumatic stress disorder (PTSD)
- Deafness
- Cerebral palsy
- Major depression
- Obsessive compulsive disorder
- Cancer
- HIV/AIDS
- Multiple sclerosis (MS)
- Impairments requiring the use of a wheelchair
- Diabetes
- Epilepsy
- Schizophrenia
- Muscular
- Missing limbs orpartially missing limbs
- Intellectual disability (previously called mental retardation)
Voluntary Self-Identification of Disability
- Yes, I have a disability (or previously had a disability)
- No, I don't have a disability
- I don't wish to answer
Phone
This field is for validation purposes and should be left unchanged.

Name	Phone	Company	Relationship

Name and Address of School	Course of Study	Number of Years Completed	Diploma Degree

Name and Address of School	Course of Study	Number of Years Completed	Diploma Degree

Name and Address of School	Course of Study	Number of Years Completed	Diploma Degree

Education

Employment Experience

Voluntary Information

VOLUNTARY APPLICANT AFFIRMATIVE ACTION INFORMATION SHEET

Voluntary Self-Identification of Disability

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