P.I. Roofing & Construction Pre-Employment Application

P.I. Roofing & Construction Pre-Employment Application

PRE-EMPLOYMENT APPLICATION
[HR OFFICER SEC 1] INTRODUCTION (APPLICANT INITIALS)

Our Company is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, gender, age, color, religion, national origin, veteran status, any disability as defined in the Americans With Disabilities Act, or for any other reason protected by State or Federal Law.
APPLICANTS INITIALS*
It is your legal right to know that any screening processes run by P. I. Roofing may result in the ineligibility of your employment. You have a right to know the results of your screens. This information will be available upon request. We use screens such as: I-9, SSNV, DMV, CBKC, PHYSICAL, SKILLS, and 5/10 PANEL DRUG.
APPLICANTS INITIALS*
This application will be given every consideration, but its receipt does not imply that you, the applicant, will be automatically employed. Each question should be answered in a complete and accurate manner as no hiring action can be taken on this application until all questions have been answered.
APPLICANTS INITIALS*
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City of Residence*
State/Province*
Zip/Postal Code*
Date of Birth*
Emergency Contact Name*

First NameLast Name
Emergency Contact Relation to You:*
Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Drivers License Number*
Please enter a valid phone number.Format: (000) 000-0000.
DL State*
DL Type*
Are you a citizen of the U. S. or do you have a legal right to be employed in the United States*

YesNo
Are you a member or have you ever been a member of the U.S. Military?*

YesNo
If yes, please note your status:*

ActiveReserveVeteran
Have you been convicted of any crime (excluding minor traffic violations) including driving under the influence of alcohol or drugs?*

YesNo
If yes, please explain:*
Education*
Degree earned:*
Honors/Awards:*
Years of Experience in Roofing/Construction*
Are you licensed or certified for roofing or construction work?*
Division & Position Applying For:*

Full-timePart-timeSubcontractorTemporary
Do you have the ability, with or without reasonable notice or accommodations, to work overtime or travel if travel and overtime are required for the job you are applying or assigned?*

YesNo
If no, please explain:*
Can you perform the essential functions of this job without accommodation?*

YesNo
If no, please explain:*
Is there any kind of work you cannot or will not perform?*

YesNo
If yes, please explain:*
Have you filed any type of claim against your present or past employers?*

YesNo
If yes, please explain:*
Will you abide by the safety rules of this company?*

YesNo
Have you ever been disciplined for violating company safety rules or regulations?*

YesNo
If yes, please explain:*
Have you ever been disciplined or terminated for actions that led to the disharmony, disruption, or loss of focus on a company’s positive and supportive culture or business purposes and goals?*

YesNo
Would you be willing to relocate?*

YesNo
How many day of work have you missed in the last two years?*
How many times have you been late to wok in the last two years?*
Have you ever been disciplines or received verbal or written warnings for absenteeism or tardiness?*

YesNo
If yes, please explain:*
Consistent attendance and punctuality are essential requirements of every job in our company. Would you be willing and able to report to work on time every day on a regular and consistent basis?*

YesNo
Is there a reason why you would not comply with our policy that abandoning your job will result in the termination of your job (“no-show +no-call = no job”)?*

YesNo

Work History & References of Former Employers
Please include name of employer, their phone number, position and the dates worked:*
Eg. John Doe Roofing Company, 501 555 5123, CEO, Jan 1 2024 to Dec 31 2024
If you have written references, feel free to upload them here:

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[HR OFFICER SEC 2] AFFIDAVIT (APPLICANT INITIAL & SIGNS)

I certify that my answers to the questions on this pre-employment application are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge. I hereby authorize the Company to contact any company or individual it deems appropriate to investigate my employment history, character and qualifications and I give my full and complete consent to their revealing any and all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statements. I agree that, if I am employed, I will abide by all rules and regulations of the Company. I understand that the taking of drug and alcohol tests, when given pursuant to company policy, are a condition to establishing employment and continued employment and refusal to take such tests when asked will be grounds for my immediate reconsideration for employment or termination from employment. Our policy: a. If you are presented with a conditional offer of employment at P.I. Roofing and Home Solutions, you agree to work under the conditions required for a drug-free workplace. b. Employees understand and agree that they may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol and/or drugs as a condition of continued at-will employment, and following any work-related injury or accident. c. Employees also agree to undergo random, fitness for duty, return to work, and reasonable suspicion alcohol and drug testing. Any employee refusing to submit to such testing when asked will be terminated. I understand and agree, that my employment is “at-will” and may be terminated by myself or by the Company at any time for any reason or no reason at all, with or without prior notice.
APPLICANT SIGNS*
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