Last Name
First Name
Middle Name
Address
City
State
Zip
Position Applying For
Phone Number(s)
Email
Date Available
Salary Desired
If so, please state facility name and location and dates of employment
Education:
Please indicate education or training which you believe qualifies you for the position you are seeking.
College and/or Vocational School:
School(s)
Other Training or Degrees:
School(s)
School City
Course
Degree or Certificate Earned
Skills:
If so, what type of roofing experience and how long:
List skills, equipment, technical materials and software you have experience with
Employment:
List last employer first, including US Military Service.
If any employement was under a different name, include name here
Most Recent / Present Employer
Employer
Address
Telephone
Job Position
Employed From:
Employed To:
Hourly Rate
Supervisor Name
Duties
Number of Hours
Reason for leaving
Next Most Recent Employer
Employer
Address
Telephone
Job Position
Employed From:
Employed To:
Hourly Rate
Supervisor Name
Duties
Number of Hours
Reason for leaving
Next Most Recent Employer
Employer
Address
Telephone
Job Position
Employed From:
Employed To:
Hourly Rate
Supervisor Name
Duties
Number of Hours
Reason for leaving
Next Most Recent Employer
Employer
Address
Telephone
Job Position
Employed From:
Employed To:
Hourly Rate
Supervisor Name
Duties
Number of Hours
Reason for leaving
Next Most Recent Employer
Employer
Address
Telephone
Job Position
Employed From:
Employed To:
Hourly Rate
Supervisor Name
Duties
Number of Hours
Reason for leaving
Explain any gaps in work history:
If yes, explain
If yes please fill out the information below.
References:
Reference #1
Name
Address
Phone
Reference #2
Name
Address
Phone
Reference #3
Name
Address
Phone
Reference #4
Name
Address
Phone
APPLICANT’S CERTIFICATION AND AGREEMENT
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Graham Roofing Incorporated to verify their accuracy and to obtain reference information on my work performance. I hereby release Graham Roofing Incorporated from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.
I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.
I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment, or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
I understand that I must successfully complete the drug and / or alcohol testing requirements before beginning work at Graham Roofing Incorporated.
Submit Application
