Employment Application

Name

Name*

First Middle Last

Address

Address*

Street Address Address Line 2 City State ZIP Code

Contact Information

Primary Phone*

Alternate Phone

Employment Eligibility

Are you authorized to work in the US?*

Yes

Are you under 18 years of age?*

Yes

Criminal History

Do you consent to a criminal background check?*

Yes

Have you ever been convicted of a misdemeanor or felony?*

Yes

Please Explain:*

Include details about your criminal conviction, including any charges, conviction dates, etc.

Position

Position you are applying for:*

Date Available to Start*

MM slash DD slash YYYY

Desired Salary (/hr)*

Employment Desired*

Full Time

Part Time

Seasonal/Temporary

Check all that apply

Skills & Abilities

This section is designed to help evaluate your skills and abilities as they correspond to job-related tasks.

Can you accurately read a tape measure?*

Yes

Are you able to lift and carry objects weighing 50 lb. to 75 lb. on a regular basis?*

Yes

Do you have prior experience in the construction industry?*

Yes

Do you have prior experience specifically in roofing?*

Yes

Do you have experience with power tools?*

Yes

Power Tools*

Please select all power tools you have experience with.

Drill

Impact Driver

Circular Saw

Table Saw

Nail Gun

Pressure Washer

Paint Sprayer

Education History

Highest level of education completed*

Educational History

School Name	School Location	Years Attended	Degree/Diploma Received	Major/Area of Study	Actions

There are no Schools.

Maximum number of schools reached.

Employment History

Please include your employment history for either a) the last five years or b) your last three employers, whichever is longer.

Previous Employers

Employer	Employer Phone	Employer Address	Dates Employed	Job Title	Starting Pay Rate	Ending Pay Rate	Actions

There are no Employers.

Maximum number of employers reached.

References

Please include three references.

Employment References

Name	Company/Organization	Phone	Email	Your relationship to this person	Actions

There are no References.

Maximum number of references reached.

Resume (optional)

Would you like to upload a resume for additional consideration?

Yes

Upload Resume

Accepted file types: pdf, doc, docx, rtf, Max. file size: 5 MB.

Acknowledgement & Agreement

Drug Testing*

I understand that, if selected for further employment evaluation, I will be subject to a pre-employment drug screening. Failure to pass a drug screening will result in a withdrawal of any employment offer.

I agree to a pre-employment drug screening.

Acknowledgement*

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.

Name

This field is for validation purposes and should be left unchanged.

Name

Address

Contact Information

Employment Eligibility

Criminal History

Position

Skills & Abilities

Education History

Employment History

References

Resume (optional)

Acknowledgement & Agreement