Employment opportunities for experienced roofers in MA, CT & RI

APPLICATION FOR EMPLOYMENT
Pre-Employment Questionnaire
Equal Opportunity Employer

Name: *

First

Last

Present Address:

Address, City, St, Zip

Permanent Address:

Address, City, St, Zip

Phone #:

Referred By:

Email *

Position applying for:

Date Can Start:

Salary Desired:

Are you employed?

If so, may we inquire of your present employer?

Ever applied to this company before?

Where?

When?

Name and location of Grammar School

Years attended

Did you graduate?

Name and location of High School

Years attended HS

Did you graduate HS?

Subjects studied HS:

Name and location of College

Years attended College

Did you graduate College?

Subjects studied College:

Name and location of Trade, Business or Correspondence School

Years attended T,B,C

Did you graduate T, B, C?

Subjects studied T, B, C:

Years of Roofing Experience:

List Types of Systems Installed:

Subjects of special study/research work or special training/skills:

US Military or Naval Service:

Rank

Name and Address of Employer 1

List most recent first.

Employment Date 1 (month/year) From - To

Salary 1

Position 1

Reason for Leaving 1

Name and Address of Employer 2

Employment Date 2 (month/year) From - To

Salary 2

Position 2

Reason for Leaving 2

Name and Address of Employer 3

Employment Date 3 (month/year) From - To

Salary 3

Position 3

Reason for Leaving 3

Name and Address of Employer 4

Employment Date 4 (month/year) From - To

Salary 4

Position 4

Reason for Leaving 4

Reference 1 Name and Address

Give names/contact info of three persons not related to you, whom you've known for at least one year.

Reference 1 Business

Years Known Reference 1

Reference 2 Name and Address

Reference 2 Business

Years Known Reference 2

Reference 3 Name and Address

Reference 3 Business

Years Known Reference 3

Authorization *

"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTANDING THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION. I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FORGOING, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE."

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