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Peak Roofing Contractors
Employment Application

Employment Application (1)

Use the form below to inquire about employment opportunities with our company.

"*" indicates required fields

Personal

Full Name (First + Middle + Last)*
Permanent Address*
MM slash DD slash YYYY
Do you have the legal right to live and work in the U.S.?*
Have you ever applied to this organization before?*
Have you ever been employed by this organization before?*
Do you have any family, business, health, or social restrictions or obligations that would prevent you from performing the job responsibilities?*
Do you have any physical or mental condition or handicap which would endanger the health or safety of yourself and or others or that may affect your ability to perform the job(s) for which you are applying?*
Have you ever been convicted of a felony?*
Will you comply with the safety work and attendance policies of our organization?*

Employment Interests

Position(s) Desired or Area of Interest:*
Select date MM slash DD slash YYYY
Type of Employment You Are Seeking:*
How were you referred to our organization?*

Education/U.S. Military Service

Where did you attend high school & college? (Click the + button to add a new row)*
School Name & Address
Major
Years Completed
GPA
Degree/Diploma
 
Are you taking any educational course(s) presently?*
Have you ever served in the U.S. Armed Services?

References

List 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives. (Click the + button to add a new row)
Name
Address
Occupation
Years Known
 

Employment History

Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.
Address
Dates Employed
From
To
 
Base Rate of Pay (Hour/Week/Month)
Start
End
 
May we contact this employer?
Did you have another job before this one?*
I agree to a Drug Screening at the company's expense.*
I agree to a Criminal Background Check at the company's expense.*

Acknowledgement

I understand that by signing this form I acknowledge that I have read and understood the above terms and conditions and agree to abide by them.
Printing your First Name + Middle Initial + Last Name will act as your digital signature.
Select date MM slash DD slash YYYY
Accepted file types: doc, docx, pages, odt, rtf, txt, wps, pdf, Max. file size: 512 MB.
If you have a resume you'd like to attach, please do so here. This is not required.
Would you like to add a cover letter?
This field is for validation purposes and should be left unchanged.

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