Roof Depot
 

Personal Information

First Name   Middle Name   Last Name    
       
Home Address Apt   City   State   Zip
     
Home Telephone   Cellular Phone   Business Phone   May we contact you at work?
     
Email
 

Position Information
Position Applying For   Date Available   Desired Salary
   
       
Are you a citizen of the United States? If NO, are you authorized to work in the US?
Have you ever worked for this company? If YES, when?
Have you ever been convicted of a felony? If YES, explain:
 
 

Education
Type of School
Name and Location of School
Degree/Area of Study
Number of Years Attended
Graduated?
High School
  
Name   Address
 
City   State   Zip
   
     
College
  
Name   Address
 
City   State   Zip
   
   
 
Other
 
Name   Address
 
City   State   Zip
   
   
 
 

References
Business references (no not list relatives)
Name
Company
Address
Work Phone No.
Relationship
Years Known
 

Employment History
List employment starting with your most recent position.
Dates
m/y
Name and Address of Employer
Position Held and Supervisor
Responsibilites
Salary or Wages
Reason for Leaving
From
To
 
Name    
Address    
City & State   Phone Number
 
 
Your Job Title
Supervisor
May we contact?
Yes  No
   
Starting
$
Final
$
 
From
To
 
Name    
Address    
City & State   Phone Number
 
 
Your Job Title
Supervisor
May we contact?
Yes  No
   
Starting
$
Final
$
 
From
To
 
Name    
Address    
City & State   Phone Number
 
 
Your Job Title
Supervisor
May we contact?
Yes  No
   
Starting
$
Final
$
 
From
To
 
Name    
Address    
City & State   Phone Number
 
 
Your Job Title
Supervisor
May we contact?
Yes  No
   
Starting
$
Final
$
 
 

U.S. Military Service
Branch of Service
Technical Specialization
Rank at Discharge
From to
Type of Discharge
If other than honorable, please explain:
 
 

Crew Information

Type of roofing specialty
 TPO/Flat  EPDM  Shingle  Standing Seam Metal  Tile  Slate  Hydro Stop
Number of Crews:
Number of people per crew:
Price Per Square:    Comments on Price Per Square:

(If you do not provide an estimated price, application will be rejected)

 

ALL APPLICANTS AND CREW MEMBERS MUST HAVE TWO FORMS OF IDENTIFICATION

Entering in the information below acts as an electronic signature and is just as valid as a hand written signature.

Full Name:
Email: