Shipping Clerk Associate

Application For Employment

We're On a Mission to Create Solutions For Safer, Healthier, and More Productive Indoor Environments

Addison-HVAC, LLC believes that our people are one of our most important assets and we invest in them accordingly. We offer our employees a competitive salary based on experience. Health / Dental / Vision benefits, 401(k), Short Term Disability and Life Insurance are also included in the benefits package. Wages are dependent on experience.

Addison-HVAC, LLC is an Equal Opportunity Employer. We support a safe, healthy and drug-free workplace through criminal background and pre-employment drug testing.

Addison-HVAC is a leading supplier of HVAC cooling and dehumidification equipment for commercial and industrial applications with extensive experience in treating ventilation air.

We specialize in 100% dedicated outdoor air systems and are able to deliver a wide range of options to satisfy ventilation for most building requirements. We have developed flexible product lines that can be configured to offer our customers semi-custom packaged heating and cooling systems to meet any need.

Now part of Madison Industries, Addison is well placed to continue our heritage well into the future. Madison's mission to make the world a safer, healthier, and more productive environment is a perfect fit for Addison and our customers.

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Are you legally eligible for employment in the USA?

Yes

No

Can you submit verification if asked?

Yes

No

Other Special Training or Skills (Languages, Machine Operation, etc.)

School Name

Qualification Type

Major / Area of Study

Qualification Status

Currently Attend?

I currently attend this establishment

Start Date

End Date

How were you referred to Addison? Online Job Ad, Walk in, Current Employee :

If Current Employee, List name of referral :

Do you currently have any friends or family working at Addison?

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No

If Yes, Please List Name

Have you ever worked under, attended school, or been known by a different name?

Yes

No

If Yes, Please List Name

Have you ever been convicted of a crime or a violation other than a minor traffic violation?

Yes

No

If "Yes" List all convictions, starting date, nature of offense and where they occurred. A conviction will not automatically disqualify you from employment at Addison.

Describe any additional skills, training or experience for the position which you are applying :

Job Title

Employer Name

Currently Employed?

This is my current employer

Start Date

End Date

Job Title

Employer Name

Currently Employed?

This is my current employer

Start Date

End Date

Job Title

Employer Name

Currently Employed?

This is my current employer

Start Date

End Date

Did you serve in the U.S. Armed Forces?

Yes

No

If yes, which Branch :

I certify that all statements and answers on this Employment Application are true, correct and complete.

I understand that any false information, misrepresentation or omission may disqualify me from consideration for employment, or may result in termination of my employment if discovered at a later date.

I understand that if I am employed, employment is not for a stated period of time and my employment would be "at-will" unless modified by a collective bargaining agreement. Either Addison or I may discontinue the employment relationship at any time without cause or notice. Only the President of Addison and an officer of Madison Industries have the authority together to enter into an agreement contrary to the foregoing and then such agreement must be made in writing and duly executed by both the President of Addison, an officer of Madison Industries as well as me. I understand that satisfactory reports are a condition of my employment with Addison.

I agree to wear or use protective clothing or devices as required, and to comply with Federal, State, Local, and company safety rules.

I acknowledge that Addison may request, after a job offer has been made and / or during my employment, that I undergo drug and alcohol testing. I understand that when drug testing is undertaken, satisfactory results are a condition of employment with Addison, unless modified by any collective bargaining agreement.

Acceptance

I have read and agree to this statement

Signature

Date : Comments

Because we do business with the US Government, we must reach out to, hire and provide equal opportunity to qualified individuals.

To help us measure how we are doing, in the following screens we are going to ask you to provide us with information about your race, gender, veteran status and if you have, or have had, a disability.

As part of this procedure we are going to invite you to complete the following :

Any answers you give will be kept private and will not be used against you in any way. You are not required to disclose any of this information and completion of the questionnaires is entirely voluntary.

Invitation to Self-Identify Gender, Ethnicity / Race

Addison-HVAC is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. To comply with these laws, we invite applicants and employees to voluntarily self-identify their gender, race and ethnicity.

Submission of this information is strictly voluntary and refusal to provide it will not subject you to any adverse treatment.

The information obtained will be kept confidential and may only be used in accordance with applicable laws, orders, and regulations. When reported, data will not identify any specific individual.

Addison-HVAC is an Equal Opportunity / Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.

Gender : Male Female I decline to identify

Ethnicity / Race : Hispanic or Latino

Invitation to Self-Identify Protected Veteran Status

Addison-HVAC is a Government contractor subject to VEVRAA, which requires positive recruitment efforts?

Protected veteran status options are provided below for voluntary self-identification.

The information you submit will be kept confidential, except as required by law. This information will be used to measure program effectiveness and compliance with civil rights laws.

Voluntary Self-Identification of Disability

Voluntary Self-Identification of Disability Form CC-305

Identifying yourself as a person with a disability is voluntary and confidential. For more information, visit the U.S. Department of Labor OFCCP website.

Privacy Policy Acknowledgement By checking this box, you acknowledge and consent to terms of the privacy policy which applies to the applicant tracking service being offered by Paycor on behalf of Addison-HVAC.

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