APPLICATION FOR EMPLOYMENT

Last Name

First Name

Middle Initial

Date of Birth

Driver's License?

YesNo

If Yes, DL No.

Address

City

Zip Code

Phone Number

Employer’s Name/Address/Telephone

Job Title

From

To

Start Pay

Last Pay

Reason for Leaving

Describe the Work You Did

Employer’s Name/Address/Telephone

Job Title

From

To

Start Pay

Last Pay

Reason for Leaving

Describe the Work You Did

When are you available to start work?

Are you willing to work overtime?

YesNo

Are you at least 18 years old?

YesNo

What languages do you speak, read, or write fluently?

If hired, can you verify that you have a legal right to work in the United Sates?

YesNo

Do you have any special skills, training, or experience which may help you qualify for this job?

YesNo

If so, please explain

Do you have available means of transportation to get to work?

YesNo

Have you ever worked for this company before?

YesNo

If so, when?

How did you find about this job?

Upload your Resume

I certify that the information provided herein is true and correct to the best of my knowledge. I understand that, if employed, falsified statements on this Application for Employment from will be considered grounds for termination. I authorize my company to thoroughly investigate my work experience and other matter related to my suitability for employment. I further authorize my former employers to disclose to the company any and all information they may have concerned my previous employment. In Addition, I hereby release the company, my former employers, and all other persons from any and all claims, demands, or liabilities arising out of, or in any way related to, such disclosure. I contest that I have a valid drivers license and have a good driving record. I consent to allowing Aggieland Roofing/CR Systems to run my driving record before hiring. I acknowledge that, if employed, both the company and I have the right to terminate the employment relationship at any time with us without cause or advance notice. This employment at will relationship will remain in effect throughout my employment with the company and may not be modified by any oral or implied agreement.

Applicant’s Signature

Date

APPLICATION FOR EMPLOYMENT

WORK EXPERIENCE

GENERAL INFORMATION

CERTIFICATION AND ACKNOWLEDGEMENT