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Blue Hills Roofing - Application For Employment

At Blue Hills Roofing we are always looking for quality employees, our job openings vary seasonally. If you're interested in working with us, fill out the employment application below as best you can and submit it to us for consideration. Thank You!

Application For Employment

We Are An Equal Opportunity Employer

In order for your application to be properly evaluated, it is essential that all of the following questions be answered carefully and completely to the best of your ability.

Position Applied For

Position Applied For
Application Date
Type of Employment Desired	Part Time	Full Time
Date available to start			Expected salary

Personal Information

First Name	Last Name	Middle Initial
Address Line #1
Address Line #2
City	State	Zip Code
Phone	Cell Phone
Email Address	Social Security Number

General Information

Have you ever been employed by Blue Hills Roofing before?		Yes	No
Are you eligible for employment in the USA?		Yes	No

Military Background

Have you served in any of the military branches?		Yes	No
If yes, what was your highest rank achieved?

Education

Describe Elementary education (school name and location, number of years attended, subjects studied and did you graduate? )
Describe High School education (school name and location, number of years attended, subjects studied and did you graduate? )
Describe College education (school name and location, number of years attended, subjects studied and did you graduate? )
Describe Trade, Business or other education (school name and location, number of years attended, subjects studied and did you graduate? )

Background & Skills

Describe subjects of special study or research, if any
Describe your special skills, if any
Describe your activities: (civic, athletic, etc.), if any "Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members."

Personal Reference #1

No previous employers or relatives please!
Name		Address
Phone		Occupation
How long have you known this person?

Personal Reference #2

No previous employers or relatives please!
Name		Address
Phone		Occupation
How long have you known this person?

Personal Reference #3

No previous employers or relatives please!
Name		Address
Phone		Occupation
How long have you known this person?

Most Recent Work History

Employer	Address
Phone	Job Title
From	To
Weekly / Hourly Salary	Supervisor Name
Describe your work & responsibilities
Reason for leaving
Can this employer be contacted?	Yes	No

Next Most Recent Work History

Employer	Address
Phone	Job Title
From	To
Weekly / Hourly Salary	Supervisor Name
Describe your work & responsibilities
Reason for leaving
Can this employer be contacted?	Yes	No

Next Most Recent Work History

Employer	Address
Phone	Job Title
From	To
Weekly / Hourly Salary	Supervisor Name
Describe your work & responsibilities
Reason for leaving
Can this employer be contacted?	Yes	No

Emergency Contact Information

In Case of Illness or Injury, Please Notify:
Name		Address
Phone		Relationship

Read Carefully Before Submitting

I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

I certify and acknowledge that I have read the above, understand it, and agree to it.

Review ALL Above Information & Submit to Blue Hills Roofing

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~ Thank you for your time and interest in Blue Hills Roofing