Job Application
Please complete the form below to apply for a position with Mr. Rogers Hardwood Flooring. I certify the information is accurate to the best of my knowledge. I understand false or misleading information may lead to my dismissal. I authorize Mr. Rogers Hardwood Flooring, LLC to investigate my background and employment history.
Date
*
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Month
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Day
Year
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Email Address
*
Birth Date
*
Please select a month
January
February
March
April
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December
Month
Please select a day
1
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Day
Please select a year
2026
2025
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1921
1920
Year
Social Security Number
*
Emergency Contact
*
Name & Phone Number
Which position(s) are you interested in?
*
Please Select
Crew Member
Foreman
Supervisor
Do you have a valid driver's license?
*
Yes
No
Driver's License Number
*
Date You Are Available To Work
*
-
Month
-
Day
Year
Date
Are you legally eligible to work in the U.S?
*
Yes
No
Have you ever been convicted of a criminal offence?
*
Yes
No
If yes, please explain if not put N/A:
*
Do you have experience in the wood flooring industry?
*
Yes
No
Please explain your experience and how long you worked in the wood flooring industry? (If you do not have any experience, please explain why you will be a good crew member for our company).
*
Work History / Experience
Please List your most current work history/experience
Employer's Name (Most Current)
*
Position Held
*
Supervisor's Name
*
Telephone Number
*
Format: (000) 000-0000.
Reason for Departure
*
Start Date
*
-
Month
-
Day
Year
End Date
*
-
Month
-
Day
Year
May we contact this employer?
*
Yes
No
If NO, explain why not
*
(2) Employer's Name
*
Position Held
*
Supervisor's Name
*
Telephone Number
*
Format: (000) 000-0000.
Reason for Departure
*
Start Date
*
-
Month
-
Day
Year
End Date
*
-
Month
-
Day
Year
May we contact this employer?
*
Yes
No
If NO, explain why not
*
Signature
*
Submit
Should be Empty: