Application for Contractors | Energy & Utility Services 

Page 1

Thank you for your interest in working with CHN Housing Partners. We look forward to reviewing your application and engaging with you on the Energy Services Program. Please take a few minutes to fill out the following application so we can get started working together!

 

Please note before you begin that you cannot submit a completed application without the following documentation:

  • Insurance certificate
  • Workers Comp certificate

Please have these documents ready when you start your application!

Page 2 | Business Info

Company Information








Owner/Primary Contact Information






Page 3 | General Criteria














Page 4 | Past Jobs & Certification

Please list the last three jobs completed in the past 12 months. Click "add another past job" below to add additional job history.

Past Jobs










Certifications





Page 5 | Sign and Submit

Typing your name in the box below will serve as your electronic signature.

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application may result in my release.