Employment Application - Bell Brothers

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Your Personal Information

Your Name(Required)

First Middle Last

Your Email Address(Required)

Enter Email Confirm Email

Mobile Phone Number(Required)

Home Phone Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Position You're Applying For

Position You're Applying For(Required)

HVAC Install Technician

HVAC Service Technician

Plumber

Customer Service Representative

Upload Your Resume(Required)

Upload your resume in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Make your application strong by uploading documents, such as cover letter, work samples, transcripts, and certifications.

Upload any files in the following formats: pdf, doc, docx, gif, html, jpg, txt, rtf, wpd, wps, xls, or xlsx.

Drop files here or

Accepted file types: pdf, doc, docx, gif, html, jpg, txt, rtf, wpd, wps, xls, orxlsx, Max. file size: 25 MB.

Add Experience

Click on the plus sign on the right of the "Phone" field to add more past experience.

Your Previous Employers

Please list your previous employers, the dates you worked and the position you held

Employer

Dates

Position

Phone

More About You

Do you want to tell us anything else about yourself?

Voluntary Self-ID

Notice of Rights

View 'Know Your Rights: Workplace Descrimination is Illegal'

Why are we asking?

Why am I being asked for my race, gender, and ethnicity?

Certain laws may require this employer to collect voluntary self-identification information, including race, gender and ethnicity, and report it to various government agencies for statistical purposes.

How will this information be used?

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and will only be used for non-discriminatory and lawful monitoring and/or reporting purposes. This information will not affect the decision regarding your application for employment.

Gender

This field allows you to indicate your gender. If available, the option "X" may include non-binary, third gender, two-spirit, transgender, gender-fluid, and other gender identity. Certain laws may require this employer to collect voluntary self-identification information, including gender. Self-identification is optional, and your employer will only use the information for statistical purposes and/or required reporting to various government agencies. This information will be kept confidential and will not affect any decisions regarding your employment.

Ethnicity & Race

I decline to identify my race and ethnicity

Ethnicity

Race

- Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of Race - White (Not Hispanic or Latino): A person having originas in any of the original people 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 Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the people of Hawaii, Guam, Samoa, or other Pacific Islands. - Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Island, Thailand, and Vietnam. - American Indian or Alaska Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community.

Protected Veteran Status

I identify myself as one or more of the classifications of protected veteran.

I am not a protected veteran.

I decline to self-identify.

What Is A Protected Veteran?

Disabled Veterans: (a) a veteran of the U.S. military, ground, naval, or air service entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or (b) a person discharged or released from active duty because of a service-connected disability.

Recently Separated Veterans: Any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

Active Duty Wartime or Campaign Badge Veterans: A veteran who served on active duty in the U.S. military, ground, naval, or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

Armed Forces Service Medal Veterans: A veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to the Executive Order 12985.

Why are we asking?

If this employer is a federal contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA) of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAAA), it is required to take affirmative action to employ and advance in employment:

Disabled veterans;
Recently separated veterans;
Active duty wartime or campaign badge veterans; and
Armed forces service medal veterans.

How will this information be used?

If this employer is a government contractor subject to VEVRAA, this information will be used to measure the effectiveness of its outreach and positive recruitment efforts it undertakes pursuant to VEVRAA. This information is being requested on a voluntary basis and will be kept confidential as required by the law. Refusal to provide the requested information will not subject you to any adverse treatment. If provided, this information will not be used in a manner inconsistent with VEVRAA.

Section 503 Disability Status

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

CLICK Voluntary Self-Identification of Disability Form to learn more about voluntarily telling us if you have or have had a disability.

Terms and Conditions(Required)

I have read the Voluntary Self-Identification of Disability Form and understand that I have the option to disclose whether or not I am an individual with a disability.(Required)

Section 503 Disability Status

Yes, I have a disability, or have a history/record of having a disability

No, I don't have a disability, or have a history/record of having a disability

I don't wish to answer.

Self Attestation is Required(Required)

I certify that I have read and understand that the applicant instructions included with this application and that the answers given by me to the foregoing questions and statements made by me are complete and true o the best of my knowledge and belief.

I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment.

I understand that this application form is intended for use in evaluating my qualifications for employment and that this application is not an offer of employment. I further understand that if hired, my employment will be considered "at-will" and that my employment may be terminated for any reason, with or without cause or notice. at any time by me or the Company and that this application is not intended to constitute a contract of continued employment.

Yes, I agree to sign electronically