Employment Application

Riley Hays Roofing & Construction is an equal opportunity employer. As such, we do not discriminate in employment decisions based upon characteristics protected by law.

First Name

Last Name

Email

Mobile Phone

Are you authorized to work in the U.S.?

Yes No

Do you have a valid driver's license?

Yes No

Have you ever been convicted of a felony?

Yes No

Employment Desired

Position Applying For

Date Available to Start

Desired Salary

Are you looking for part-time or full-time work?

Full Time Part Time

Are you available to work overtime during the regular work week?

Yes No

Are you available to work weekends if required?

Yes No

Do you have any roofing or construction experience?

Yes No

Employment History

Please provide three previous employers, starting with most recent.

Employer 1

Employer Name

Employer's Phone Number

Job Title

Dates of Employment

May we contact?

Yes No

Summarize job duties/responsibilities

Reason for leaving

Employer 2

Employer Name

Employer's Phone Number

Job Title

Dates of Employment

May we contact?

Yes No

Summarize job duties/responsibilities

Reason for leaving

Employer 3

Employer Name

Employer's Phone Number

Job Title

Dates of Employment

May we contact?

Yes No

Summarize job duties/responsibilities

Reason for leaving

References

Please list three professional references.

Reference 1

First Name

Last Name

Phone Number

Relationship

Reference 2

First Name

Last Name

Phone Number

Relationship

Reference 3

First Name

Last Name

Phone Number

Relationship

I certify that my answers are true and complete to the best of my knowledge. I understand that if this application leads to employment, false or misleading information in my application or interview may result in my release.

Signature

Apply to Join the Riley Hays Team

Employment Desired

Employment History

References

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