OFFICE USE ONLY

Referred by: _____________________

PLEASE CHECK THE POSITION FOR WHICH YOU ARE APPLYING:

____Sheet Metal Apprentice

____Sheet Metal Mechanic
____Pipe Welder Apprentice
____Pipe Welder: STICK___MIG___TIG___
____Pipe Fitter Apprentice
____Pipe Fitter

____Field Management (Attach Resume)

____Service Tech (Attach Resume)
____Driver/Mobile Equipment Operator
____Backhoe Operator
____Inventory & Tool Specialist (ITS)
____Office Personnel (Attach Resume)

CCS MECHANICAL, INC. HIRING POLICY

CCS Mechanical, Inc. hires individuals in the following categories:
Project Specific: Team members are hired for a specific project and for the duration of that project only. Understanding
when hired that when the project is complete team members will be released with no recourse to either party. Team
members may be offered a job on another project, which can be accepted, or declined.*
Non-Project Specific: Team members who are hired and employed for non project specific status will be required to work
within a geographic region.
*The category for team members hired on a new project will be project specific unless reclassified by the General
Superintendent.
Additional Questionnaire
Do you agree to mandatory direct deposit for payment? Yes
No
Do you have transportation?
Yes
No
Do you have the required tools?
Yes
No
Will you travel if the job requires it?
Yes
No
Will you work overtime if required?
Yes
No
Will you work different shifts if required?
Yes
No
Is there any time off required?
Yes
No
If yes please list: _________________________________________________________________________________

I have read and understand the job classifications and requirements for the above position. I understand
this application is valid for (30) days.

Signature___________________________________

Date____________________

737 Southwest 57th Avenue

Ocala, Florida 34474
Tel (352) 237-6272
Fax (352) 237-6258
www.ccsmechanical.com

PLEASE PRINT
Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation
to the application and/or interview process should notify a representative of the Human Resources Department.

Position(s) applied for__________________________________________________ Date of application____/___/_____

Name____________________________________________________________________________________________
Last
First
Middle
Address__________________________________________________________________________________________
Street
City
State
Zip Code
Mobile/ Telephone # (____)__________ Other Phone # (____)__________Social Security #_______________________
If you are under 18, and it is required, can you furnish a work permit? (please circle)
Yes
No
If no, please explain________________________________________________________________________________
Have you ever been employed here before?
Yes
No
Are you legally eligible for employment in the country?
Yes
No
Date available for work
____/____/____
Type of employment desired
Full-Time
Part-Time
Temporary
Seasonal
Educational Coop
Are you able to meet the attendance requirements of the position?
Yes
No
Have you been convicted of a crime in the last seven (7) years?
Yes
No
If yes, please explain_______________________________________________________________________________
CONVICTION WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT. EACH INSTANCE AND EXPLANATION WILL BE
CONSIDERED IN RELATION TO THE POSITION FOR WHICH YOU ARE APPLYING.

Drivers license number, if driving is an essential job function ____________________________________State_______

Safety Vest Size:_________________

Employment History
Provide the following information for your past four (4) employers, assignments or volunteer activities, starting with the
most recent.
__________________________________________________________________________________________________
From _____To _____
Employer _______________________
Telephone (____)__________
__________________________________________________________________________________________________
Job Title
Address
__________________________________________________________________________________________________
Immediate Supervisor and Title
Summarize the Nature of Work Performed and Job Responsibilities
__________________________________________________________________________________________________
Reason for leaving
Hourly Rate/Salary
Start $________Per________ Final $________Per________
____________________________
_________________________________________________________________
From _____To _____
Employer _______________________
Telephone (____)__________
__________________________________________________________________________________________________
Job Title
Address
__________________________________________________________________________________________________
Immediate Supervisor and Title
Summarize the Nature of Work Performed and Job Responsibilities
__________________________________________________________________________________________________
Reason for leaving
Hourly Rate/Salary
Start $________Per________ Final $________Per________
__________________________________________________________________________________________________
From _____To _____
Employer _______________________
Telephone (____)__________
__________________________________________________________________________________________________
Job Title
Address
__________________________________________________________________________________________________
Immediate Supervisor and Title
Summarize the Nature of Work Performed and Job Responsibilities
__________________________________________________________________________________________________
Reason for leaving
Hourly Rate/Salary
Start $________Per________ Final $________Per________

__________________________________________________________________________________________________
From _____To _____
Employer _______________________
Telephone (____)__________
__________________________________________________________________________________________________
Job Title
Address
__________________________________________________________________________________________________
Immediate Supervisor and Title
Summarize the Nature of Work Performed and Job Responsibilities
__________________________________________________________________________________________________
Reason for leaving
Hourly Rate/Salary
Start $________Per________ Final $________Per________
__________________________________________________________________________________________________

Skills and Qualifications

Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform in the position
for which you are applying:
Educational Background
Name and Location
High School
____________________________
College
____________________________
Other
____________________________

Years Completed

Did You Graduate?

Course Of Study

_______________

________________

_______________

_______________

________________

_______________

_______________

________________

_______________

References
Name
Telephone #
Years Known
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I understand that if I am employed, any misrepresentation or material omission made by me on the application will be
sufficient cause for cancellation of this application or immediate discharge from the employers service whenever it is
discovered.
I give the employer the right to contact and obtain information from all references, employers, educational institutions and to
otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and
its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for
furnishing such information.
The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of
limiting or excusing any applicant from consideration for employment on a basis prohibited by local state or federal law.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish
to be considered for employment, it will be necessary to fill out a new application.
If I am hired, I understand that I am free to resign at any time with or without cause and without prior notice and the
employer reserves the same right to terminate my employment at any time with or without cause and without prior notice
except as may be required by law. This application does not constitute any agreement or contract for employment for any
specified period or definite duration. I understand that no representative of the employer other than an authorized officer has
the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and
signed by an authorized officer.
I understand it is this companys policy not to refuse to hire a qualified individual with a disability because of that persons
need for a reasonable accommodation as required by the ADA.
I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.
Signature of Applicant___________________________________________________________________Date____/_____/_____

VOLUNTARY INFORMATION
Completion of information below is voluntary

We consider all applicants for positions without regard to race, color, religion, sex, national origin, citizenship, age, mental or physical
disabilities, veteran/reserve/national guard or any other similarly protected status. We also comply with all applicable laws governing
practices
not discriminate
the basis
of anyTounlawful
criteria.from application.
Toemployment
be completed by
applicantand
on ado
voluntary
basis. Not foron
interview
purposes.
be filed separately
In an effort to comply with requirements regarding government recordkeeping, reporting and other legal obligations which may apply, we invite you
to complete this applicant data survey. Providing this information is STRICTLY VOLUNTARY. Failure to provide it will not subject you to any
adverse personnel decision or action. Your cooperation is appreciated.
Please be advised that this survey is not a part of your official application for employment. It will not be used in any hiring decision. The information
will be used and kept confidential in accordance with applicable laws and regulations.
______________________________________________________________________________________________________________

PLEASE PRINT
Position(s) applied for____________________________________________________

Date______/_____/_____

Referral Source
Walk-in
Government Employment Agency
Private Employment Agency
Employee
Relative
School
Advertisement-Source____________________________________ Other_________________________________
Name of person who referred you (if applicable)__________________________________________________________
Applicant Information
Name____________________________________________________________ Telephone (_____)_________
Last
First
Middle
Address__________________________________________________________________________________________
Street
City
State
Zip Code
Gender

Male

Female

Please check one of the following Equal Employment Opportunity Identification Groups:
White (Not of Hispanic Origin)
Black (Not of Hispanic Origin)
American Indian/Alaskan Native
Asian/Pacific Islander
Hispanic
Multiracial (having parents of different races)
THIS IDENTIFICATION GROUP IS RECOGNIZED ONLY IN THE
STATE OF MICHIGAN
For Administrative Use Only
__________________________________________________________________________________________________________________
Position(s) applied for
Available
Not Available
Other positions considered for__________________________________________________________________________________________
Hired
Yes
No
Position hired for________________________________________________ Date of Hire_____/___/____
From the EEO job classifications listed below, which one best describes the position filled?
Officials & Managers
Sales Workers
Operatives (semi-skilled)
Professionals
Office & Clerical
Laborers (unskilled)
Technicians
Craft Workers (Skilled)
Service Workers
Notes _____________________________________________________________________________________________________________
Completed by_________________________________________________________________Date_____/_____/____

Vietnam ERA Veterans

As a government contractor subject to section 503 of the Rehabilitation Act of 1973, and Section 402 of the
Vietnam Era Veterans readjustment Act of 1974. We employ and advance in employment qualified individuals
with disabilities, disabled veterans and Vietnam Era Veterans.
If you are an individual with a disability, or a qualified veteran, you are invited to volunteer this information.
The purpose of this information is to provide affirmative action, or determine any need for current or future
accommodations. This information will not adversely affect any employment decision.
If you wish to be self identified, please sign below:
_____Individual with disabilities

_____Disable Veteran

_____Vietnam Era Veteran

_____Veteran

___________________________________
Print Name
___________________________________
Signature

_____________________
Date

CCS Mechanical, Inc. Pre-Employment Drug Testing Policy

All job applicants at this company will undergo screening for the presence of illegal drugs or alcohol as a
condition of employment.
Applicants will be required to voluntary submit to a urinalysis test at a laboratory chosen by the company and
by signing a consent agreement, will release the company from liability.
(Any applicant with positive test results will be denied employment at that time but may initiate another inquiry
with the company after 6 months.)
The company will not discriminate against applicants for employment because of past abuse of drugs or
alcohol. However, the company will not tolerate any current drug or alcohol abuse that prevents employees
from properly performing their jobs.
_______________________________________
Print Name
_______________________________________
Signature

___________________
Date

CCS Mechanical, Inc

Math Portion of Job Application

SOLVE THESE WITHOUT USING A CALCULATOR

1. 3,628

467
373
+642

654
+422

153
6,534
+957

2. Marsha and her husband, Steve, are looking at the floor plans of a new house. Can you help them fill in the length of
the porch?__________________

A________

B_________

C_______

D_______

3. What is the distance from the start of the Standard ruler to letters A, B, C, and D
4. You need to cut an 87.25 pipe into as many 5.75 pieces as possible. How many 5.75 pieces are you be able to cut?
_________. How much will be left?_________(Round answers to the nearest whole number.)
5. Four dozen drills cost $216. What does one dozen cost?_________.
6. The difference in diameter between a 2 1/4 pipe and a 7/8 pipe is_________inches.
7. A truck is loaded with 12,987 bricks. If 968 are unloaded, how many are left on the truck? _________.
8. The budget for a job is $600. The worker is paid $7.00 an hour and works for 8 hours a day for 10 days. What is the
difference between the budget and the actual cost? ___________.