US ROOFING Employment Application Applicant InformationFull Name: Date: Address: Phone: Email: Date Available: Desired Salary: $ Position Applied for: Are you a citizen of the United States? YesNoIf no, are you authorized to work in the U.S.? YesNoHave you ever worked for this company? YesNoIf yes, when? If yes, explain: EducationHigh School: Address: From: To: Did you graduate? YesNoDiploma: College: Address: From: To: Did you graduate? YesNoDegree: Other: Address: From: To: Did you graduate? YesNoDegree: ReferencesName: Phone: Address: Relationship: Name: Phone: Address: Relationship: Previous EmploymentCompany: Phone: Address: Supervisor: Job Title: Starting Salary: $ Ending Salary: $ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? YesNoMilitary ServiceBranch: From: To: Rank at Discharge: Type of Discharge: If other than honorable, explain: Disclaimer and SignatureI certify that my answers are true and complete to the best of my knowledge.If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.Signature: Date:
