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REFRIGERATION     HVAC     FOOD SERVICE     CONSTRUCTION SERVICES     EQUIPMENT SALES
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CONSTRUCTION, INC.
Main Office
40 Kriner Road
Chambersburg, PA 17222
717-263-3885
First Name: 
Last Name:
Street Address:
City, State, Zip Code:
Email:
Middle: 
Telephone #:
Birth Month:
Date:
Year:
Do you have a valid drivers license?: 
Refrigeration Certification Number: 
 Certification Type: 
Ever Convicted of a felony?:
If YES, Please describe: 
EDUCATION
High School:
Graduated:
College or Technical School :
Graduated:
Academic/Trade Major:
PREVIOUS EMPLOYMENT
Company Name:
Street Address:
City, State, Zip Code:
Employment Dates:
Reason for Leaving:
Company Name:
Street Address:
City, State, Zip Code:
Employment Dates:
(Start)
(Finish)
Reason for Leaving:
Company Name:
Street Address:
City, State, Zip Code:
Employment Dates:
(Start)
(Finish)
Reason for Leaving:
What are your goals in regards to employment with our company?
What earnings do you expect?
Date Available for hire?
(Finish)
(Start)
YES
NO
YES
NO
YES
NO