Personal Info

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone# *

Email

Upload your resume (optional). Must be less than 5MB

Job Details

Position Applying For *

Today's Date * +

How did you become aware of this opening? *

Have you ever been employed with West Roofing Systems, Inc. before? *

Yes

No

Do you know anyone who works with West Roofing Systems, Inc? *

Yes

No

Describe Relationship *

Date you can start * +

Hourly Rate / Salary Desired *

Are you available to work: *

Full time

Part Time

Seasonal

Can you work over-time including weekends? *

Yes

No

Can you travel if the job requires it? *

Yes

No

Can you travel internationally if the job requires it? *

Yes

No

Are you currently employed? *

Yes

No

Can we contact your current employer? *

Yes

No

Current Employer's Name *

Current Employer's Phone# *

Are you eligible to work in the United States? *

Yes

No

Are you at least 18 years or older? *

Yes

No

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? *

Yes

No

Have you ever been convicted of a crime? *

Yes

No

If yes, please provide us with dates, location and explanation of the relevant circumstances. *

Education

High School Name *

Last Grade Completed *

Graduated *

Did you attend any Vocational/Technical Schools? *

Yes

No

Vocational School Name *

Diploma/Field of Study

Graduated *

Did you attend a college or University? *

Yes

No

College/University Name *

Type of Degree *

Graduated *

Do you have any Military Experience? *

Yes

No

Branch of Service *

MOS *

Describe any job related training received in the military:

Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for?

Summarize special job-related skills and qualifications acquired from employment or other experience:

Computer skills (please describe):

Employment Experience

Start with your present or last job. Include any job related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Job1

Employer Name *

Employer Address

City *

State *

Zip Code

Phone Number *

Job Title *

Supervisor *

Is this your current job? *

Yes

No

Date Started * +

Date Ended * +

Starting Pay *

Ending Pay *

Work Performed *

Reason for Leaving *

Add Second Job *

Yes

No

Job 2

Employer Name *

Employer Address

City *

State *

Zip Code

Phone Number *

Job Title *

Supervisor *

Date Started * +

Date Ended * +

Starting Pay *

Ending Pay *

Work Performed *

Reason for Leaving *

Add a third job? *

Yes

No

Job 3

Employer Name *

Employer Address

City *

State *

Zip Code

Phone Number *

Job Title *

Supervisor *

Date Started * +

Date Ended * +

Starting Pay *

Ending Pay *

Work Performed *

Reason for Leaving *

Add a fourth Job? *

Yes

No

Job 4

Employer Name *

Employer Address

City *

State *

Zip Code

Phone Number *

Job Title *

Supervisor *

Date Started * +

Date Ended * +

Starting Pay *

Ending Pay *

Work Performed *

Reason for Leaving *

Applicant's Statement

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for West Roofing Systems, Inc. to hire me. If I am hired, I understand that either West Roofing Systems, Inc. or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of West Roofing Systems, Inc. has the authority to make any assurance to the contrary.

I attest by signing this application below that I have given to West Roofing Systems, Inc. true and complete information on this application. No requested information has been concealed. I authorize West Roofing Systems, Inc. to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

E-signature *

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