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Employment History

Certification and Authorization: Please read carefully before signing.

I understand that the completion of this application does not indicate that there are any positions open and does not in any way obligate.. FRANKS AIR CONDITIONING to hire me or offer me a job.

Permission is hereby granted to any school, person, firm, or corporation whether my former employer or otherwise to give this company any relevant information that may be required to arrive at an employment decision. I hereby release this company, it's officers, employees, representatives or agents from any liability and/or damages incurred by myself in obtaining such information.

I understand that as a matter of company policy, my employment and compensation shall continue so long as mutually agreeable, and may be terminated by the company or me without cause or notice. No policy or statement by any company representative (other than a formal employment agreement signed by an officer of the corporation) is to be considered a contract of employment, whether expressed or implied, for any specific period of time or upon any continuing term.

This company reserves the right to use any method of investigation which, in in its sole discretion, it deems reasonable and necessary to determine whether any employee has engaged in conduct warranting disciplinary action. As a condition of employment, if hired, I agree to cooperate in any such investigation. As a condition of my employment, I voluntarily agree to cooperate in submitting to any blood or urine tests requested by the company as well as any searches of my person or property, while employed by the company and I recognize that a refusal to cooperate in such tests or searches would be grounds for discipline including termination.

I understand that if hired, the company due to any misrepresentation, misinformation or inaccuracy of the statement contained herein may terminate my employment. I authorize the company to investigate all statements contained in this application for accuracy and completeness, and to obtain any transcripts, records, or documents pertaining to may background and business experience as required by the company. If hired, I agree to conform to the rules and regulations of FRANKS AIR CONDITIONING I also attest that I am authorized to work in the United States. I understand this application will remain for 30 days. If I have not been hired by that date, I must renew my application to be considered for future employment.

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Please supply the following information to facilitate a background check on you.

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RESIDENCES (Starting with current)

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Application for Employment

We are an equal opportunity employer dedicated to a policy of non-discrimination in employment on any basis including race, age, sex, religion, creed, color, national origin or disability.

DO NOT provide or write any information that is not directly requested on the application

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Personal Information of Applicant

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If applying for a position in which requires you to drive a vehicle you must have a valid driver's license and submit to a vehicle and driving background check.

Have you ever worked for this company?
Are you legally authorized to work in the United States?

NOTE: Proof of eligibility of employment will be required

Have you ever been convicted of a felony?

NOTE: Conviction of a felony does not Necessarily disqualify you for employment.

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Education of Applicant



High School

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Complete this form for each employee or contractor electing direct deposit.

I authorize

to deposit my pay automatically to the account(s) indicated below and, if necessary, to adjust or reverse a deposit for any payroll entry made to my account in error. This authorization will remain in effect until I cancel it in writing and in such time as to afford

a reasonable opportunity to act on it.

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Primary Direct Deposit

Account Type

*Balance of pay to:

*Note: Split payments are not available for contractors.

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Secondary Direct Deposit: (balance after direct deposit entry above)

Account Type

Important: Please attach a voided check for each bank account to which funds should be deposited.

Payers: Don't send us this form with your Direct Deposit enrollment. Keep for your records.



Form W-4
(Rev. December 2020)
Department of the Treasury Internal Revenue Service.

Employee's Withholding Certificate

  • Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
  • Give Form W-4 to your employer.
  • Your withholding is subject to review by the IRS.
OMB No. 1545-0074

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Step 1: 2021 Enter Personal Information

Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.

Marital Status

Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, when to use the estimator at www.irs.gov/W4App, and privacy.

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Step 2: Multiple Jobs or Spouse Works

Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.

Do only one of the following.

(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or

(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or


TIP: To be accurate, submit a 2021 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.

Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3-4(b) on the Form W-4 for the highest paying job.)

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Step 3: Claim Dependents

If your total income will be $200,000 or less ($400,000 or less if married filing jointly):

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Step 4 (optional): Other Adjustments

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Step 5: Sign Here

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.

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Employers Only

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