Roofer/Laborer

Employment Application

Applicant Information

Full Name: Date:

Last First M.I.

Address:

Street Address Apartment/Unit #

City State ZIP Code

Phone: Email

Date Available: Social Security No.: Desired Salary: $

Position Applied for:

YES NO YES NO

Are you a citizen of the United States? If no, are you authorized to work in the U.S.?

YES NO

Have you ever been convicted of a felony?

If yes, explain:

Education

High School: Address:

YES NO

From: To: Did you graduate? Diploma:

College: Address:

YES NO

From: To: Did you graduate? Degree:

References

Please list a professional reference.

Full Name: Relationship:

Company: Phone:

Address:

1

Previous Employment

Company: Phone:

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:

YES NO

May we contact your previous supervisor for a reference?

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature: Date:

2

Job Types: Full-time, Part-time

Pay: $20.00 - $28.00 per hour

Expected hours: 20 – 40 per week

Benefits:

• On-the-job training

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Application Question(s):

• What type of roofing experience do you have? Commercial? Residential? Or both?
• Do you have basic roof installation knowledge?
• Which roofing materials have you worked with?

Experience:

• Roofing: 1 year (Preferred)

Work Location: In person