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
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:
License Type
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.
