DG Roofing Inc. Application for Employment

DG Roofing Inc. Application for Employment
Name

First NameLast Name
Email
example@example.com
Phone Number Home
Please enter a valid phone number.
Phone Number Cell
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
When are you available to start work?
Do you have a driver License?
Are you at least 21 Years old?
Position applying for?
Previous Roof Experience (Check all that apply

Single-PlyHeat WeldingStanding SeamSheet Metal FabricationEPDMTPOPVCOther
The Company may require employees to work out of town overnight and /or out of state, Are you available to work out of town and /or out of state? Yes or No (if no why not)?
Work Starts at 6:00 Am M-F, some times Saturdays, Can you meet the attendance requirements of this job?

YesNo
Do you use illegal drugs?

YesNo
Are you able to lift up to 50 lbs regularly?

YesNo
Are you able to perform the specific duties of the position you are applying for?

YesNo
Have you been convicted of a crime in the last 7 years?

YesNo
If yes explain
Are you on probation or parole? Please explain any restriction you have.
Have you ever worked at DG Roofing? If so when? How long?
Please provide 3 work references we may contact. Include Company name, supervisor name, email and or phone number.
I certify that the information I have provided in this employment application is accurate and has been completed to the best of my knowledge and ability. I understand that any falsification, misrepresentation, or omission in my interviews or any other employment record will be sufficient reason to deny employment and /or maybe the reason for future dismissal.

I further hereby give DG Roofing permission to contact the above listed references.
Date

MonthDayYear
Date
Signature

Clear
Should be Empty: