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Thank you for your interest in our organization. Whitco Roofing Inc. is an equal opportunity employer and will consider all applicants without regard to race, color, age, gender, disability, national origin or ancestry, sex, sexual orientation, gender identity, gender expression, genetic information, religion, veteran or military status, citizenship, or any other class protected under Federal, State or Local Law. The information collected by this application is solely to determine suitability for employment, verify identity, and maintain employment statistics on applicants.

PERSONAL INFORMATION
LAST NAME*
FIRST NAME*
MIDDLE INITIAL*
MAIDEN
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
EMAIL ADDRESS*
HOME PHONE*
CELL PHONE
POSITION APPLYING FOR*
SALARY DESIRED*
ARE YOU AT LEAST 18 YEARS OLD?*
If under 18, you may be required to provide authorization to work.
ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?*
(Note: If offered employment, in compliance with federal law, you will be required to verify identity and eligibility to work in the United States, to complete appropriate employment eligibility verification documents (e.g., USCIS Form I-9), and participate in applicable e-Verify procedures.)
IS THERE ANY OTHER NAME (E.G., MAIDEN NAME, PRIOR NAME, NICKNAME, ETC.) UNDER WHICH YOUR EMPLOYMENT OR SCHOOL RECORDS WOULD BE LISTED?*
PLEASE LIST NAMES
DO YOU HAVE A FRIEND OR RELATIVE WHO WORKS AT WHITCO ROOFING, INC.?*
PLEASE PROVIDE NAME(S), RELATIONSHIP(S), AND WORK LOCATION(S)
HAVE YOU EVER APPLIED FOR A JOB POSITION AT WHITCO ROOFING, INC. IN THE PAST?*
WHEN AND WHAT JOB?
HAVE YOU HAVE BEEN DISCIPLINED BY AN EMPLOYER FOR ENGAGING IN AN ACT OF VIOLENCE OR OTHER THREATENING OR UNSAFE CONDUCT IN THE WORKPLACE?*
PLEASE PROVIDE DETAILS.
ARE YOU SUBJECT TO ANY AGREEMENTS WITH A FORMER EMPLOYER?*
PLEASE EXPLAIN ANY RESTRICTIVE COVENANTS (NON-COMPETITION, NON-SOLICITATION, NON-RECRUITMENT, NONDISCLOSURE OF CONFIDENTIAL INFORMATION) THAT MAY RESTRICT OR LIMIT YOUR ABILITY TO WORK FOR WHITCO ROOFING, INC. AND PROVIDE A COPY OF THE AGREEMENT.
ARE YOU ABLE TO PERFORM THE ESSENTIAL JOB FUNCTIONS OF THE JOB YOU ARE APPLYING FOR, WITH OR WITHOUT REASONABLE ACCOMMODATION?*
(NOTE: WHITCO ROOFING, INC. COMPLIES WITH THE ADA AND WILL CONSIDER REASONABLE ACCOMMODATION MEASURES THAT MAY BE NECESSARY FOR ELIGIBLE APPLICANTS/EMPLOYEES TO PERFORM ESSENTIAL JOB FUNCTIONS. IT IS POSSIBLE THAT, IF YOU ARE OFFERED A POSITION, YOU MAY BE TESTED ON SKILL/AGILITY AND MAY BE SUBJECT TO A MEDICAL EXAMINATION CONDUCTED BY A MEDICAL PROFESSIONAL.)
DESCRIBE THE FUNCTIONS THAT CANNOT BE PERFORMED.
AVAILABILITY
CAN YOU WORK OVERTIME IF REQUIRED
CAN YOU TRAVEL IF REQUIRED
DO YOU HAVE A VALID DRIVERS LICENSE
DATE AVAILABLE*
TYPE OF EMPLOYMENT*
HOW WERE YOU REFERRED TO WHITCO ROOFING, INC.?*
ADVERTISEMENT SOURCE
EMPLOYEE NAME
AGENCY NAME
REFERRAL OTHER
SUNDAY AVAILABILITY*
SUNDAY AVAILABILITY DETAILS
MONDAY AVAILABILITY*
MONDAY AVAILABILITY DETAILS
TUESDAY AVAILABILITY*
TUESDAY AVAILABILITY DETAILS
WEDNESDAY AVAILABILITY*
WEDNESDAY AVAILABILITY DETAILS
THURSDAY AVAILABILITY*
THURSDAY AVAILABILITY DETAILS
FRIDAY AVAILABILITY*
FRIDAY AVAILABILITY DETAILS
SATURDAY AVAILABILITY*
SATURDAY AVAILABILITY DETAILS
EDUCATION
1 NAME OF SCHOOL
1 SCHOOL ADDRESS
1 TYPE OF SCHOOL (HIGH, COLLEGE, BUSINESS, TRADE, ETC)
1 YEARS COMPLETED
1 MAJOR & DEGREE OBTAINED
2 NAME OF SCHOOL
2 SCHOOL ADDRESS
2 TYPE OF SCHOOL (HIGH, COLLEGE, BUSINESS, TRADE, ETC)
2 YEARS COMPLETED
2 MAJOR & DEGREE OBTAINED
3 NAME OF SCHOOL
3 SCHOOL ADDRESS
3 TYPE OF SCHOOL (HIGH, COLLEGE, BUSINESS, TRADE, ETC)
3 YEARS COMPLETED
3 MAJOR & DEGREE OBTAINED
4 NAME OF SCHOOL
4 SCHOOL ADDRESS
4 TYPE OF SCHOOL (HIGH, COLLEGE, BUSINESS, TRADE, ETC)
4 YEARS COMPLETED
4 MAJOR & DEGREE OBTAINED
EMPLOYMENT HISTORY
PLEASE LIST YOUR WORK EXPERIENCE (INCLUDING ANY MILITARY EXPERIENCE) BEGINNING WITH YOUR MOST RECENTLY HELD JOB. IF YOU WERE SELF-EMPLOYED, GIVE FIRM NAME.
1. PRESENT OR MOST RECENT EMPLOYER
1 EMPLOYER NAME*
1 EMPLOYER ADDRESS*
1 PHONE NUMBER*
1 SUPERVISOR'S NAME / TITLE*
MAY WE CONTACT*
1 STARTING DATE*
1 STARTING POSITION / TITLE*
1 STARTING SALARY / OTHER COMP*
1 ENDING DATE*
1 ENDING POSITION / TITLE*
1 ENDING SALARY / OTHER COMP*
1 ARE YOU STILL EMPLOYED*
1 REASON FOR LEAVING*
1 DESCRIPTION OF RESPONSIBILITIES*
2. PREVIOUS EMPLOYER
2 EMPLOYER NAME
2 EMPLOYER ADDRESS
2 PHONE NUMBER
2 SUPERVISOR'S NAME / TITLE
MAY WE CONTACT
2 STARTING DATE
2 STARTING POSITION / TITLE
2 STARTING SALARY / OTHER COMP
2 ENDING DATE
2 ENDING POSITION / TITLE
2 ENDING SALARY / OTHER COMP
2 ARE YOU STILL EMPLOYED
2 REASON FOR LEAVING
2 DESCRIPTION OF RESPONSIBILITIES
3. PREVIOUS EMPLOYER
3 EMPLOYER NAME
3 EMPLOYER ADDRESS
3 PHONE NUMBER
3 SUPERVISOR'S NAME / TITLE
MAY WE CONTACT
3 STARTING DATE
3 STARTING POSITION / TITLE
3 STARTING SALARY / OTHER COMP
3 ENDING DATE
3 ENDING POSITION / TITLE
3 ENDING SALARY / OTHER COMP
2 ARE YOU STILL EMPLOYED
3 REASON FOR LEAVING
3 DESCRIPTION OF RESPONSIBILITIES
4. PREVIOUS EMPLOYER
4 EMPLOYER NAME
4 EMPLOYER ADDRESS
4 PHONE NUMBER
4 SUPERVISOR'S NAME / TITLE
MAY WE CONTACT
4 STARTING DATE
4 STARTING POSITION / TITLE
4 STARTING SALARY / OTHER COMP
4 ENDING DATE
4 ENDING POSITION / TITLE
4 ENDING SALARY / OTHER COMP
2 ARE YOU STILL EMPLOYED
4 REASON FOR LEAVING
4 DESCRIPTION OF RESPONSIBILITIES
GAPS IN EMPLOYMENT
PLEASE EXPLAIN ANY GAPS IN EMPLOYMENT EXCEEDING 30 DAYS.
ADDITIONAL INFORMATION
USE THE SPACE BELOW TO SUMMARIZE ANY ADDITIONAL INFORMATION NECESSARY TO DESCRIBE YOUR FULL QUALIFICATIONS FOR THE SPECIFIC POSITION FOR WHICH YOU ARE APPLYING. PLEASE DESCRIBE ANY PAST RESPONSIBILITIES OR ACHIEVEMENTS THAT MAY QUALIFY YOU FOR A POSITION AT WHITCO ROOFING, INC.
REFERENCES
Please list three references, other than relatives, whom we may contact about you.
1 NAME*
1 POSITION / COMPANY*
1 ADDRESS*
1 PHONE*
2 NAME*
2 POSITION / COMPANY*
2 ADDRESS*
2 PHONE*
3 NAME*
3 POSITION / COMPANY*
3 ADDRESS*
3 PHONE*
CERTIFICATION - PLEASE READ CAREFULLY BEFORE SIGNING
If you are hired, this application will become a part of your official employment record.
By signing below, and in exchange for the consideration of my job application by Whitco Roofing, Inc. (hereinafter called “Whitco Roofing, Inc.”), I understand and agree that,
- Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment with Whitco Roofing, Inc., or to confer any right to remain an employee of Whitco Roofing, Inc., or otherwise to change in any respect the employment-at-will relationship between the Company and the undersigned. I further understand that the employment-at-will relationship means that both the undersigned and Whitco Roofing, Inc. may end the employment relationship at any time without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise its benefits, policies and procedures, and those such changes may include reduction in benefits. The nature of this employment-at-will relationship cannot be altered except by a written instrument signed by the CEO.
- I certify that the information provided by me in this application is true, accurate, and complete. I certify that I have not knowingly omitted any information that might adversely affect my chances of employment with Whitco Roofing, Inc. I understand that, if I am hired, this application will become a part of my official employment record. I understand that any misrepresentation or omission of facts in this application may result in my dismissal at any time without any previous notice.
- Whitco Roofing, Inc. has my permission to contact schools, previous employers (unless otherwise indicated by me), references, and others I have listed on this application in order to verify the accuracy of the information contained in this application. I authorize employers, schools and other persons named on this application to provide any information or transcripts requested. I hereby release the Company from any liability as a result of such contact.
- I understand, where permissible under applicable state and local law, I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background, driving record, credit history, and/or other matters related to my suitability for employment. I understand that a separate disclosure and consent form will be provided to me prior to any background check.
- I understand, where permissible under applicable state and local law, I may be subject to a pre-employment drug test after receiving a conditional offer of employment and must receive a negative result for illegal drug use before being permitted to commence work with the Company.
- I understand, where permissible under applicable state and local law, I may be subject to a pre-employment medical examination after receiving a conditional offer of employment, and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with the Company.
- I hereby certify that, if employed, my employment with Whitco Roofing, Inc., will not conflict with, or result in the violation of, any contract, agreement or understanding that I am a party to or am bound by, other than those I have disclosed in this application, if any.
- I agree to protect Whitco Roofing Inc.’s confidential information, trade secrets, and names or addresses of clients, and I will not disclose to Whitco Roofing, Inc. any confidential information from others.
DID YOU COMPLETE THIS APPLICATION YOURSELF?*
NAME OF PERSON COMPLETING THE APPLICATION
SIGNATURE OF APPLICANT*
TODAY'S DATE*
Whitco Roofing, Inc. is an equal opportunity employer and will consider all applicants without regard to race, color, age, gender, disability, national origin or ancestry, sex, sexual orientation, gender identity, gender expression, religion, veteran or military status, citizenship, or any other class protected under Federal, State or Local Law.
ATTACH RESUME, COVER LETTER, OR OTHER FILE.
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PERSONAL INFORMATION

AVAILABILITY

EDUCATION

EMPLOYMENT HISTORY

REFERENCES

CERTIFICATION - PLEASE READ CAREFULLY BEFORE SIGNING

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