| Personal Information |
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| Date Of Birth |
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| Telephone Number |
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| Email Address |
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| US Citizen |
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| Education |
| Elementary School |
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| Years Attended |
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| Did You Graduate |
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| High School |
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| Years Attended |
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| Did You Graduate |
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| College or University |
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| Years Attended |
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| Did You Graduate |
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Employment Record
PLEASE BE ACCURATE AND GIVE A FULL AND COMPLETE RECORD OF YOUR EMPLOYMENT.
BEGIN WITH PRESENT OR MOST RECENT EMPLOYER.
IF SPACE IS NOT ADEQUATE, USE THE "COMMENTS" BOX. |
| Are You Presently Employed |
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| If Not, How Long Have You Been Unemployed |
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| Current or Most Recent Employer |
| Company Name |
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| Street Address |
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| City |
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| State |
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| Duties & Responsibilities |
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| Nature of Business |
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| Date Employed |
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| Earnings at Start |
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| Present Earnings |
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| Immediate Supervisor |
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| Reason(s) For Desiring Change |
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| Previous Experience |
| Company Name |
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| Street Address |
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| City |
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| State |
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| Duties & Responsibilities |
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| Nature of Business |
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| Dates Employed |
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| Earnings at Start |
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| Maximum Earnings |
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| Immediate Supervisor |
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| Reason(s) For Desiring Change |
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| Company Name |
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| Street Address |
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| City |
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| State |
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| Duties & Responsibilities |
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| Nature of Business |
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| Dates Employed |
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| Earnings at Start |
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| Maximum Earnings |
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| Immediate Supervisor |
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| Reason(s) For Desiring Change |
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| What Job Did You Like Best? |
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| Why? |
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| What Job Did You Like Least? |
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| Why? |
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What Position Are You Applying For?
- RECRUIT
The Recruit "KEEPS EVERYONE ELSE RUNNING AT PEAK EFFICIENCY". He will assist Project Manager, Mechanic, and Apprentice with tearoff and clean up. Learn to safely set up equipment and act in a professional manner. Assist safe loading and unloading of trucks. Pursue job advancement by learning trade as quickly as possible and becoming a responsible employee.
- APPRENTICE
The Apprentice is "THE MECHANIC'S RIGHT HAND MAN". He should assist Project Manager and Mechanic with tearoff, installation of materials and clean up. Learn to safely set up equipment and install materials in a professional manner. Assist safe loading and unloading of trucks. Assist with inventory control and maintenance of tools and equipment. Pursue job advancement by learning trade as quickly as possible and becoming a responsible employee.
- MECHANIC
The Mechanic is "THE PROJECT MANAGERŐS EYES IN THE BACK OF HIS HEAD". He is responsible for the installation of products and direction of Apprentices and Recruits. He is capable of safely setting up equipment and installing roofing. He also is responsible for safe loading and unloading of trucks, as well as, the inventory of tools and equipment. He provides training, instruction and guidance to Apprentices and Recruits.
- PROJECT MANAGER
The Project Manager is the "MAN ON THE JOB". He has full responsibility of the job while the job is in progress. He is responsible for the installation meeting the project specifications, job safety, customer relations, checking estimator's quantities, documenting change orders, finishing the job within the budget, and quality control.
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| Select Your Desired Position |
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(please see descriptions above) |
| If a position is not available in your desired position at this time, which fields would you be willing to work in? |
Roofing Siding
Windows Masonry
Sheet Metal Carpentry |
| If Applying for a Mechanic or Project Manager position, list three jobs you were in charge of |
| Type of Project |
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| Job Location |
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| Date Installed |
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| Type of Project |
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| Job Location |
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| Date Installed |
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| Type of Project |
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| Job Location |
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| Date Installed |
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| Other Information |
| Have you ever been in business for yourself, or have you ever worked with a member of your family? |
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| If yes... |
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| Date Employed |
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| Nature of Business |
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| Position Held |
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| Earnings |
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| Reason For Discontinuing Employment |
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| Given your current experience level, what hourly rate would you expect to start at? |
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| What rate would you like to be earning in the next 1-2 years? |
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| Transportation |
| Do You Own Your Own Car? |
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| Make |
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| Year |
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| Do You Have A Valid Driver's License? |
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| If "Yes", Lic. # |
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| State |
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| Is Your Vehicle Properly Registered & Insured? |
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| Agency |
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| Family |
| Marital Status |
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| Ages Of Children |
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Emergency Contact
IN CASE OF EMERGENCY, NAME AND ADDRESS OF SPOUSE OR NEAREST RELATIVE |
| Name |
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| Phone # |
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| Address |
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| City |
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| State |
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| Physical & Medical Information |
| Height |
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| Weight |
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| Physical Disabilities |
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| Present State of Health |
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| Date of Last Physical Examination |
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| Results |
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| How many times in the last 5 years were you unable to work due to illness? |
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| How long were you out of work? |
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| Illnesses To Which You Are Prone |
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Personal References
PLEASE PROVIDE BELOW THE NAMES OF THREE PEOPLE WHO ARE NEITHER RELATIVES NOR PREVIOUS EMPLOYERS. |
| Name |
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| Address |
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| Phone |
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| Business |
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| Years Known |
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| Name |
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| Address |
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| Phone |
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| Business |
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| Years Known |
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| Name |
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| Address |
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| Phone |
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| Business |
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| Years Known |
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| Public Projects |
| Have you ever worked on any public construction projects requiring a state police check? |
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| If "Yes", were you barred? |
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| Project(s) |
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| Do you have a police record? |
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| If "Yes", please explain. |
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| Have you ever been convicted of a felony? |
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| If "Yes", please explain - including the year of the offense. |
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Experience
DO YOU HAVE EXPERIENCE WITH ANY OF THE FOLLOWING? |
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Tools & Equipment
INDICATE ALL THAT YOU OWN AND WOULD BE USING. |
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| I HEREBY CERTIFY THAT ALL THE STATEMENTS MADE IN THIS APPLICATION FOR EMPLOYMENT ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. |
| Additional Comments |
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| Your Computer's IP Address |
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| Today's Date |
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