Central Ohio's Premier Commercial Roofing Partner - ASI

Application for Employment


Walk-inEmployeeAdvertisementOther

YesNo

Work number & best time to call

YesNo

Please explain

Give date(s) and position(s)

Give date(s): from to

YesNo

per


Full TimePart TimeSeasonalTemporary
YesNo
YesNo
YesNo
YesNo

Please explain

YesNo
Answering “yes” to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

YesNo

Please provide date(s) and details

Employment History

Starting with your most recent employer, provide the following information:
from to
Compensation (starting)
per
Compensation (final)
per








from to
Compensation (starting)
per
Compensation (final)
per








from to
Compensation (starting)
per
Compensation (final)
per










YesNo

Please explain

Skills and Qualifications



(Check appropriate boxes. Include software titles and years of experience.)

Word ProcessingSpreadsheetPresentationE-mailInternetOther

Educational Background

Starting with your most recent school attended, provide the following information.



DiplomaGEDDegreeOther
 
 




DiplomaGEDDegreeOther
 
 




DiplomaGEDDegreeOther
 
 

References

List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Related Information



Exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve National Guard or any other similarly protected status.



Exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve National Guard or any other similarly protected status.

YesNoNot Applicable

Please explain



Applicant Statement

Icertify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educationalinstitutions and to otherwise verify the accuracy of all information provided by me in this application, resume’ or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer dose not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on and basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am fee to resign at any time, with or without cause and with or without prior notice,except as may be required by law. This application does not constitute and agreement or contract for employment for anyspecifiedperiod or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that I found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminated me from further consideration from employment, or (ii) may result in my immediate discharge from the employer’s service, whenever it is discovered.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.