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Employment Application
Applicant's Full Name
*
Application Date
*
Phone Number
*
Other Phone
Email Address
*
Enter Email
Confirm Email
Street Address
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City
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State
*
Zip / Postal Code
*
Best Time To Call You
Between 8am – 5pm
Mornings
Early Afternoon
Late Afternoon
Early Evening
Date Available to Start
Are you a citizen of the United States?
*
YES
NO
Are you authorized to work in the U.S.?
*
YES
NO
Have you ever worked for this company?
YES* – Please answer next question
NO
If YES*, when?
Have you ever been convicted of a felony?
*
YES* – Must answer next question
NO
If YES*, explain:
Position You're Applying For
Position You're Applying For
*
Roofer
Laborer
Desired Salary Per Hour
Hours You Are Available for Work
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday – Rare Occasions
Sunday – Rare Occasions
Education
High School
*
High School Address
*
Did you graduate?
*
YES
NO
Diploma
*
College
*
College Address
Did you graduate?
YES
NO
Degree
Other Education
*
Other Address
Did you graduate?
YES
NO
Degree
References – Information Required
Please List Three Professional References
Reference 1 – Full Name
*
Relationship
*
Company
*
Phone
*
Email
Address
*
Reference 2 – Full Name
*
Relationship
*
Company
*
Phone
*
Email
Address
*
Reference 3 – Full Name
*
Relationship
*
Company
*
Phone
*
Email
Address
*
Previous Employment – Information Required
Please List Your Previous Employers, the Dates You Worked and the Position you Held
Previous Employer 1
*
Employer
Address
Phone
Dates Employed
Job Title
Supervisor
Starting Salary
Ending Salary
Reason for Leaving
May We Contact Your Previous Supervisor for a Reference?
*
Yes
No
Previous Employer 2
*
Employer
Address
Phone
Dates Employed
Job Title
Supervisor
Starting Salary
Ending Salary
Reason for Leaving
May We Contact Your Previous Supervisor for a Reference?
*
Yes
No
Previous Employer 3
*
Employer
Address
Phone
Dates Employed
Job Title
Supervisor
Starting Salary
Ending Salary
Reason for Leaving
May We Contact Your Previous Supervisor for a Reference?
*
Yes
No
Military Service
Have You Served in the Military Service?
Yes* – Please answer following questions
No
Branch
Dates of Service (From to Dates)
Rank at Discharge
Type of Discharge
If other than honorable, please explain
More About You
Tell Us About Yourself
Upload Your Resume
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
Disclaimer and 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 or interview may result in my release.
I agree to the terms and conditions.
Signature
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Please type your full name to accept disclaimer
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