Hartford & Ratliff Co., Inc.

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OFFICE: 248.471.3110
PARTS: 800.466.3110

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Employment Inquiry

EMPLOYMENT INQUIRY FORM

Thank you for your interest in obtaining a position with Hartford & Ratliff Co., Inc.. The following is a simple inquiry form to see if it is in your interest to take the time to come in and fill out our normal employment application and potentially interview for possible employment.

Contact Information

*First Name:

*Last Name:

Middle Initial:

Address

*Address:

*City:

*State/Province:

*Postal Code:

*Home Phone Number:

Personal Cell Phone Number:

*Email address:

*Confirm email address:

Do you have a valid Driver's License?

Yes

*Type of Work Desired:

*Days / Hours Available:

Have you applied with us before?:

If yes, when?:

Education & Certifications

High School

Number of years attended:

Did you Graduate?

Yes

Name and Location of School:

Subjects Studied:

College

Number of years attended:

Did you Graduate?

Yes

Name and Location of School:

Subjects Studied:

Trade or Business School

Number of years attended:

Did you Graduate?

Yes

Name and Location of School:

Subjects Studied:

Current Certifications and Licenses:

Have you ever been convicted of a felony?

If yes, please provide details:

Employment History

Company Name:

Start Date:

End Date:

Starting pay rate:

Starting pay type

Hourly

Monthly

Annually

Ending pay rate:

Ending pay type

Hourly

Monthly

Annually

Duties:

Reason for Leaving:

Name of Supervisor:

Supervisor's Title:

Supervisor's Phone Number or Reason not to contact:

Company Name:

Start Date:

End Date:

Starting pay rate:

Starting pay type

Hourly

Monthly

Annually

Ending pay rate:

Ending pay type

Hourly

Monthly

Annually

Duties:

Reason for Leaving:

Name of Supervisor:

Supervisor's Title:

Supervisor's Phone Number or Reason not to contact:

Company Name:

Start Date:

End Date:

Starting pay rate:

Starting pay type

Hourly

Monthly

Annually

Ending pay rate:

Ending pay type

Hourly

Monthly

Annually

Duties:

Reason for Leaving:

Name of Supervisor:

Supervisor's Title:

Supervisor's Phone Number or Reason not to contact:

References

Reference 1 Name:

Reference 1 Phone Number:

Reference 2 Name:

Reference 2 Phone Number:

Reference 3 Name:

Reference 3 Phone Number:

Additional Skills

Other Skills:

Special Training:

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24 Hour Emergency Service Available • 7 days a week

When we service your Furnace in Farmington Hills MI, your satifaction means the world to us.

OFFICE: 248.471.3110|
PARTS: 800.466.3110

32708 W. 8 Mile Road•
Farmington, MI 48336

Office Hours|
Monday - Friday: 8:00am - 5:00pm

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Financing Options

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For Furnace repair in Farmington MI, we accept most major credit cards.