Employment Application

First Name:

Last Name:

Phone:

Email:

Address

City

State

Zip Code

Are you 18 or older?

Yes

No

Applying for

Full - time

Part - time

Temporary

Pay expected

Date available for work

I am seeking a position as

Are you associated with a specific Union?

Yes

No

If yes, which Union represents you?

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EDUCATION & EXPERIENCE

EDUCATION | What is your highest level educational or career training?

High School/GED equivalent

On-the-job trade training

Union training

Advanced trade training in an accredited program or workplace setting

Associate's Degree

Bachelor's degree

Post-bachelor's degree

ROOFING EXPERIENCE | Roofing and Construction Experience:

List any additional experiences and skills you believe will make you successful in the position(s) you seek, including leadership positions or special safety training

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EMPLOYMENT HISTORY

Most Recent Place of Employment

Beginning date of employment

Ending date

Job title

Reason for Leaving

Describe the work you did

Starting wage

Ending wage

Supervisor

If this is your current employer, may we contact for a reference?

Yes

No

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If yes, please list their name and number under "WORK OR PERSONAL REFERENCE 1" below.

Company name and address

Beginning date of employment

Ending date

Job title

Reason for Leaving

Describe the work you did

Starting wage

Ending wage

Supervisor

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PROFESSIONAL OR PERSONAL REFERENCES

WORK OR PERSONAL REFERENCE 1 | Include name and their relationship to you

Contact information (phone number or email address)

WORK OR PERSONAL REFERENCE 2 | Include name and their relationship to you

Contact information (phone number or email address)

If you have worked for Earhart Roofing Company Inc. before, describe when, the position you held and your reason for leaving/returning:

List any friends or relatives who work(ed) for Earhart Roofing Company Inc.:

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EMPLOYMENT READY QUESTIONS

Are you subject to any employment agreement or post-employment agreement with any other entity?

Yes

No

Can you perform the essential functions of the position for which you are applying with or without reasonable accommodation?

Yes

No

Are you presently authorized to work in the United States?

Yes

No

Will you now or in the future require employer sponsorship in order to begin or continue working legally in the United States?

Yes

No

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TRANSPORTATION

TRANSPORTATION | Do you currently hold a valid drivers license?

Yes

No

Do you have reliable transportation to the job site?

Yes

No

Application For Roofing Employment

Request for Application