Employment Opportunities

We are currently hiring roofers, please fill out the form below.

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Fill out as many employers as needed.

Carefully Read Each Statement Before Signing at the Bottom

  • Information/Education
  • Work Experience
  • Additional Information
  • Confirmation

Contact Information

Today's Date:

Last Name

First Name

Middle

Present Address

City

State

Zip

How Long Have You Been At This Address

Telephone Number

Position Applying For

Desired Salary

If under 18 please list age

Can you work Nights? (Check One)

Employment Desired

Days Available To Work

Education

High School

Name Of School

Location

# Of Years Completed

Major & Degree

College

Name Of School

Location

# Of Year Completed

Major & Degree

Business Or Trade School

Name Of School

Location

# Of Year Completed

Major & Degree

Professional School

Name Of School

Location

# Of Year Completed

Major & Degree

Have you ever been convicted of a crime?

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Previous Employer 1

May we contact current employer before you are offered a position?

Name Of Employer:

Job Title:

Duties:

Address:

City, State, Zip Code

Dates Of Employment:

Hourly pay or salary: (Include starting pay and ending pay)

Supervisor:

Telephone:

Reason for leaving:

Skills, advancements, promotions, or additional details

Previous Employer 2

May we contact current employer before you are offered a position?

Name Of Employer:

Job Title:

Duties:

Address:

City, State, Zip Code

Dates Of Employment:

Hourly pay or salary: (Include starting pay and ending pay)

Supervisor:

Telephone:

Reason for leaving:

Skills, advancements, promotions, or additional details

Previous Employer 3

May we contact current employer before you are offered a position?

Name Of Employer:

Job Title:

Duties:

Address:

City, State, Zip Code

Dates Of Employment:

Hourly pay or salary: (Include starting pay and ending pay)

Supervisor:

Telephone:

Reason for leaving:

Skills, advancements, promotions, or additional details

Previous Employer 4

May we contact current employer before you are offered a position?

Name Of Employer:

Job Title:

Duties:

Address:

City, State, Zip Code

Dates Of Employment:

Hourly pay or salary: (Include starting pay and ending pay)

Supervisor:

Telephone:

Reason for leaving:

Skills, advancements, promotions, or additional details

Drivers License

Do you have a Drivers License?

Drivers License Number:

State Issued

Expiration Date:

What is your means of transportation to work?

Have you had any accidents during the past three years

How many

Have you had any moving violations during the past three years?

How many

Provide Three References Who Are Not Relatives That We May Contact

Name and Occupation

How do you know them, and for how long?

Phone Number

Name and Occupation

How do you know them, and for how long?

Phone Number

Name and Occupation

How do you know them, and for how long?

Phone Number

In Case Of Emergency Notify

Name

Phone Number

Military Status

Have you ever been in the Armed Forces?

Are you now a member of the National Guard

Specialty:

Date Entered:

Discharge Date:

Office Skills

To be completed by Office Employees only

Typing

WPM

Microsoft Excel

Microsoft Access

Microsoft Word

Quickbooks

Other Applicable Skills:

Work Eligibility

Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization. Where appropriate and permitted or required by state of federal law, a criminal background check and/or drug test may be required prior to employment.

If hired, can you provide evidence of legal eligibility to work in the U.S.?

Authorization

I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize Active Roofing Co., Inc. to investigate all statement contained in this application, including a criminal background, credit history check, and drug test, as applicable. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I understand and acknowledge that unless otherwise defined by applicable law or written agreement with Active Roofing Co., Inc. any employment relations with Active Roofing Co., Inc. will be "employment at will." This means that I may resign at any time and you, the Employer, may discharge me at any time, with or without cause, and with or without advance notice. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I have read, understand, and agree to the above statements.

Signature (Type Your Full Name)