SMACNA St. Louis
Residential/Light Commercial Specialist Application

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APPLICANT INFORMATION

* Required First Name
* Required Last Name
* Required Address
* Required City
* Required State
* Required Zip
* Required (Home or Cell) Home Phone xxx-xxx-xxxx
* Required (Home or Cell) Cell Phone xxx-xxx-xxxx
* Required Residence Area
Desired Work Area
Number of years in the trade

CURRENT EMPLOYER

Current Employer
Start Date mm/yyyy /
Type of Work Performed
Current Wage per Hour
Current Benefits (Check all that apply) Medical Pension 401K
Do you pay for any of your benefits? Yes Percent Paid
Does your employer provide your vehicle? Yes

TRAINING

(e.g. Trade Schools,
Junior College or
Apprentice Programs, etc.)

PREVIOUS WORK EXPERIENCE

Most Recent Previous Company
Start Date mm/yyyy /
End Date mm/yyyy /
Type of Work Performed
Second Previous Company
Start Date mm/yyyy /
End Date mm/yyyy /
Type of Work Performed

RANK YOUR PROFICIENCY

From 0 to 5 (5 is most proficient)
New Residential HVAC
Replacement Residential HVAC
Service
Sheet Metal Fabrication
Residential Sheet Metal Installation
Commercial Sheet Metal Installation
Other (please enter skill and rank)

OTHER INFORMATION

Current St. Louis County Mechanical License? Yes
Are you certified to handle refrigerants? Yes
Are you willing to take a drug test? Yes

I agree that this information may be used by SMACNA St. Louis

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