Employment Application

Simmons Plumbing & HVAC serves the lower Merrimack Valley and Seacoast of NH. We are always seeking motivated individuals with industry experience, or those who are seeking to learn new trade skills. We provide competitive wages and a generous benefits package.

Simmon Plumbing & HVAC is an equal opportunity employer. Women and minorities are encouraged to apply.

Fields marked with * are required in order to submit the form.

Applicant Information

Additional Information

Are you 18 years of age or older?

Yes No

Are you a U. S. citizen?

Yes No

If no, please choose one of the following:

I am authorized to work in this country for any employer I am authorized to work in this country for my present employer I require sponsorship to work in this country

Do you have a valid driver's license?

Yes No

Our company does DMV, pre-employment criminal background checks & drug testing. Is there anything we need to be made aware of?

Yes No

Have you ever been convicted or pled guilty or no contest to any criminal offense?

Yes No

Please note that criminal convictions are not an automatic disqualification to employment but are considered only in relation to specific job requirements.

Position & Availability

Which position(s) are you interested in:

Residential HVAC Sales Commercial HVAC Sales Call Center / Dispatch Other

Are you available to work

Full Time Part Time

Date you can begin working:

Are you available to work evenings, if needed?

Yes No

Are you available to work Saturdays, if needed?

Yes No

Are you available to work Sundays and holidays, if needed?

Yes No

Experience

Are you an Installation Technician?

Yes No

Are you a Service/Maintenance Technician?

Yes No

Are you an Electrician?

Yes No

Are you a Plumber?

Yes No

Do you have Residential or Commercial HVAC Sales experience?

Yes No

Do you have Call Center / Dispatch experience?

Yes No

Current Employment

Are you currently employed?

Yes No

If yes, may we contact your supervisor?

Yes No

The following information will assist us in doing reference checks. Please provide details of your work history in the spaces that follow. Fill in these spaces carefully and completely. Begin with your current job and work back.

Starting Date

Finishing Date

Please provide us the names and addresses of your last three employers:

Employer #1

Starting Date

Ending Date

Employer #2

Starting Date

Ending Date

Employer #3

Starting Date

Ending Date

Other Employment Information

Our company does DMV, pre-employment criminal background checks and drug testing. Is there anything we need to be made aware of?

Yes No

Have you ever been convicted or pled guilty or no contest to any criminal offense?

Yes No

Education

Are you EPA certified?

Yes No

Are you NATE certified?

Yes No

Special Skills

Do you have computer skills?

Yes No

Do you speak fluently in any language other than English?

Yes No

Verbal Skills?

Yes No

Written Skills?

Yes No

Please provide us with the following information for references:

Employment Application

Applicant Information

Additional Information

Position & Availability

Experience

Current Employment

Employer #1

Employer #2

Employer #3

Other Employment Information

Education

Special Skills

Reference 1

Reference 2

Reference 3

Referrals