APPLICATION FOR EMPLOYMENT
Equal Opportunity Employer:
We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other status protected by federal, state, or local laws.
Personal Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Referred By
Position & Availability
Position Applied For
Desired Hourly Pay
Are you at least 18 years of age or older?
Yes
No
Have you ever applied or worked for this company before?
Yes
No
Date Available
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you legally authorized to work in the United States?
Yes
No
Office & Administration Experience
1. Software & Productivity Tools Proficiency
Check all that apply and select your skill level
Microsoft Word
None
Less than 1 year
1-3 years
3-5 years
5+years
Microsoft Excel
None
Less than 1 year
1-3 years
3-5 years
5+ years
Google Workspace (Docs, Sheets, Drive)
None
Basic
Intermediate
Advanced
Quickbooks Online (QBO)
None
Basic
Intermediate
Advanced
2. Customer Service Experience
How many years of formal customer service experience do you have?
None
Less than 1 year
1-3 years
5+ years
Communication & Support Channels Experienced In
In-Person / Front Desk
Inbound Phone Calls
Email Correspondence
Live Chat / Messaging
Scheduling / Dispatch
3. Office & Administrative Support Capabilities
Check all that apply
Data Entry & Record Keeping
Invoicing, Billing, & AR/AP
Calendar & Appointment Management
Document Formatting & File Organization
Material Ordering & Vendor Relations
Driver & Fleet Safety Record
Note: Roles requiring company vehicle driving subject candidates to Motor Vehicle Record background checks
Driver's License #
State
Class/Type
Do you hold a valid Commercial Driver's License (CDL)?
Has you license been suspended or revoked in the last 3 years?
Yes
No
Employment History
Most Recent First
Company Name & Location
Position / Role
Dates Employeed
Company Name & Location
Position / Role
Dates Employeed
Company Name & Location
Position / Role
Dates Employeed
Education & Trade Credentials
High School
Did you graduate?
Yes
No
Trade/College
Did you graduate?
Yes
No
Degree / Certificate
Emergency Contact Information
Contact Name
Relationship
Primary Phone
Alternate Phone
Applicant Acknowledgments & Authorizations
1. Accuracy of Information: I certify that all statements made in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentation, falsification, or omission of facts called for in this application may result in rejection of this application or immediate termination of employment regardless of when discovered.
Acknowledged
2. Background & Reference Authorization: I authorize Conover Construction & Roofing, Inc. to investigate all statements contained herein and to contact former employers, educational institutions, personal references, and relevant licensing bodies to verify my qualifications. I release all parties from liability for providing information in connection with this application.
Acknowledged
3. North Carolina At-Will Employment Disclaimer: I understand and agree that employment with Conover Construction & Roofing, Inc. is at-will, meaning that either I or the company may terminate the employment relationship at any time, with or without cause or prior notice, under North Carolina law. No supervisor or representative has authority to enter into any contrary employment agreement.
Acknowledged
4. Controlled Substance & Drug Screening Notice: I understand that employment may be contingent upon successfully passing a pre-employment or post-offer drug and alcohol screening conducted in accordance with North Carolina law (N.C.G.S. § 95-230 et seq.)
Acknowledged
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Applicant Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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