APPLICATION FORM

(Print Form and Fill Out)

FORT WORTH CHIMNEY SWEEPS EMPLOYEMNT APPLICATION

(Fort Worth Dryer Vent Cleaners)

Chimney Sweep Helper Job Application Form

(WINTER PART-TIME HELPER)

(Job Application Form Must Be filled out As Completely As possible to be considered)

Personal Information:

Full Name: ______________________________

Current Address: ______________________________

City: ________________

State: _______________

Zip Code: ____________

How Long at Current address? ____________

Email Address: ______________________________

Working Phone Number: _____________________

Do you Have reliable transportation to and from work?

Driver's License#______________________________

Married Yes____ or No____

Position Applying for if different than "Chimney Sweep Technician Part-Time Helper."

please submit position below:

________________________________

Education:

Name of High School Attended _____________________________________

Did You Graduate __________

If not, what was your last grade attended. ____________ what year__________

Do you have a GED? _________

Highest Level of Education: __________

Name of School/College/University: __________

Degree/Diploma: __________ if yes what year? ___________

Work Experience:

Please provide details of your relevant work experience, starting with the most recent:

Company Name: _______________________________

Job Title: _______________________________

Dates of Employment: _______________________________

Responsibilities: Use a blank sheet of paper if more space is needed.

_______________________________

Company Name: ___________________________________

Job Title: ___________________________________

Dates of Employment: ___________________________________

Responsibilities: Use a blank sheet of paper if more space is needed.

_______________________________

Skills and Qualifications:

Please check all of the following skills and qualifications that apply to you:

If any number above was checked marked, please provide a small description (Work

history, Training, Schooling, etc... explain on why you believe you checked marked a skill or ability.

(If more space is need, please use separate blank sheet and submit with this application.)

1) _______Physical fitness and ability to perform physically demanding tasks able to lift at times up to 75lbs. (If Checked briefly Explain)

__________________________________________________________________________________

2) _______Mechanical aptitude and understanding of chimney components (Drills, Ladders, Grinders, etc...). (If Checked briefly Explain)

__________________________________________________________________________________

3) _______Technical skills related to chimney maintenance, repair, and installation (Previous work, classes. etc...). (If Checked briefly Explain)

__________________________________________________________________________________

4) _______Attention to detail in inspecting and identifying chimney issues (Previous hobby or project, etc...). (If Checked briefly Explain)

__________________________________________________________________________________

5) _______Problem-solving ability in diagnosing and troubleshooting problems (Previous hobby or project, etc...). (If Checked briefly Explain)

__________________________________________________________________________________

6) _______Knowledge of safety protocols and regulations in chimney work (Last job experience, Project, etc...). (If Checked briefly Explain)

__________________________________________________________________________________

7) _______Excellent communication skills with customers and team members (Naturally skilled, School, classes, etc...). (If Checked briefly Explain)

__________________________________________________________________________________

8) _______Time management and ability to work within deadlines (Previous job, School, Family meetings, etc...). (If Checked briefly Explain)

__________________________________________________________________________________

9) _______Customer service orientation and ability to handle client inquiries and concerns (List any Experience). (If Checked briefly Explain)

__________________________________________________________________________________

10) _______Willingness to learn and stay updated with industry advancements. (If checked List average grade in high school, college, or personal experiences, etc...). (If Checked briefly Explain)

__________________________________________________________________________________

Additional Information:

__________________________________________________________________________________

Please write legibly any additional information you would like to share regarding your qualifications, certifications, or any other relevant details. Again, if you need more room simply continue on a blank sheet of paper and submit any additional information with this application.

References:

Please provide the names and contact information of two professional references who can speak to your work experience and abilities no family members.

Reference 1:

Name: ______________________________________

Relationship/ Company/Organization: ______________________________________

Phone Number: ______________________________________

Email: ______________________________________

Reference 2:

Name: ______________________________________

Relationship/ Company/Organization: ______________________________________

Phone Number: ______________________________________

Email: ______________________________________

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statements or omissions may result in disqualification from employment or termination if already employed.

Signature: ______________________________________

Date: _________/_________/_________

Thank you for taking the time to complete this application. We appreciate your interest in joining our team as a Chimney Sweep Helper. If your application has been considered, we will be in contact

with you.

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