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
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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
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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
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Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Residential Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
City of Residence
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State/Province
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Zip/Postal Code
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Date of Birth
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Emergency Contact Name
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First Name
Last Name
Emergency Contact Relation to You:
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Emergency Contact Phone
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Please enter a valid phone number.
Drivers License Number
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Please enter a valid phone number.
DL State
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DL Type
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Are you a citizen of the U. S. or do you have a legal right to be employed in the United States
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Yes
No
Are you a member or have you ever been a member of the U.S. Military?
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Yes
No
If yes, please note your status:
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Active
Reserve
Veteran
Have you been convicted of any crime (excluding minor traffic violations) including driving under the influence of alcohol or drugs?
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Yes
No
If yes, please explain:
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Education
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Please Select
Grammar
High School
College/Vo-tech
Degree earned:
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Honors/Awards:
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Years of Experience in Roofing/Construction
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Are you licensed or certified for roofing or construction work?
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Please Select
Yes, I am licensed/certified
No, I am not licensed/certified
Division & Position Applying For:
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Full-time
Part-time
Subcontractor
Temporary
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?
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Yes
No
If no, please explain:
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Can you perform the essential functions of this job without accommodation?
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Yes
No
If no, please explain:
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Is there any kind of work you cannot or will not perform?
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Yes
No
If yes, please explain:
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Have you filed any type of claim against your present or past employers?
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Yes
No
If yes, please explain:
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Will you abide by the safety rules of this company?
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Yes
No
Have you ever been disciplined for violating company safety rules or regulations?
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Yes
No
If yes, please explain:
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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?
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Yes
No
Would you be willing to relocate?
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Yes
No
How many day of work have you missed in the last two years?
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How many times have you been late to wok in the last two years?
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Have you ever been disciplines or received verbal or written warnings for absenteeism or tardiness?
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Yes
No
If yes, please explain:
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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?
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Yes
No
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”)?
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Yes
No
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Work History & References of Former Employers
Please include name of employer, their phone number, position and the dates worked:
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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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