Step 1 of 7 14% Applicant InformationName First Middle Last Address Street Address Apartment/Unit # City State / Province / Region ZIP / Postal Code PhoneEmail Address Date Available MM slash DD slash YYYY Desired Salary Position Applied For Referred By Are you a citizen of the United States? Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for this company? Yes No If so, when? EducationHigh SchoolHigh School Address City State / Province / Region From To Did you graduate? Yes No Higher EducationBusiness/Trade School Address City State / Province / Region From To Did you graduate? Yes No Degree Special SkillsType of ExperienceEPDMMonths/Years Type of Equipment BURMonths/Years Type of Equipment TPOMonths/Years Type of Equipment PVCMonths/Years Type of Equipment Modified BitumenMonths/Years Type of Equipment ShinglesMonths/Years Type of Equipment OtherMonths/Years Type of Equipment Previous Employment - List Most Recent FirstEmployment OneCompany PhoneAddress Street Address Supervisor's Name Job Title Starting Salary Ending Salary Responsibilities From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for Leaving May we contact your previous supervisor for a reference? Yes No Employment TwoCompany PhoneAddress Street Address Supervisor's Name Job Title Starting Salary Ending Salary Responsibilities From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for Leaving May we contact your previous supervisor for a reference? Yes No Military ServiceBranch From MM slash DD slash YYYY To MM slash DD slash YYYY Rank at Discharge Type of Discharge If other than honorable, explain: References Please list three professional references. Reference OneFull Name First Relationship Company PhoneReference TwoFull Name First Relationship Company PhoneReference ThreeFull Name First Relationship Company Phone 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. I understand and acknowledge that, if hired, my employment relationship with Allweather Roof is "at will", which means that neither the employee nor Allweather Roof is bound to continue the employment relationship if either chooses, as its will, to end the relationship at any time and for any reason. SignatureDate MM slash DD slash YYYY