Riley Hays Roofing & Construction
Employment Application
Applicant Information
Riley Hays Roofing & Construction (RHR&C) is an equal opportunity employer. As such,RHR&C does not discriminate in employment decisions based upon characteristicsprotected by law.
Name
First & Middle Name
Last Name
Email
example@example.com
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Mobile Phone
Please enter a valid phone number.
Format: (000) 000-0000.
If no, are you authorized to work in the U.S.?
Yes
No
Do you have a valid drivers license:
Yes
No
Have you ever been convicted of a felony?
Yes
No
If yes, when?
If yes, explain?
Back
Next
Employment Desired
Position Applying for:
Date Available to start
-
Month
-
Day
Year
Date
Desired Salary
Are you looking for part time or full time work?
Full Time
Part Time
Are you available to work overtime during the regular work week?
Yes
No
Are you available to work weekends if required?
Yes
No
Do you have any roofing or construction experience?
Yes
No
If yes, please explain your experience and how many years or months?
Back
Next
Employment History
Please provide 3 previous employers, starting with most recent.
Employer Name
Employers Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Job Title:
Dates of Employment
-
Month
-
Day
Year
Date
May we contact?
Yes
No
Summerize job duties/responsibilites
Reason for leaving
Employer Name
Employers Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Job Title:
Dates of Employment
-
Month
-
Day
Year
Date
May we contact?
Yes
No
Summerize job duties/responsibilites
Reason for leaving
Employer Name
Employers Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Job Title:
Dates of Employment
-
Month
-
Day
Year
Date
May we contact?
Yes
No
Summerize job duties/responsibilites
Reason for leaving
Back
Next
References
Please list three professional references.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Disclaimer & 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.
Submit
Should be Empty: