Apply & Join Our Team Our Florida team is growing and we are currently recruiting Project Managers and experienced roofers. Employment Application Personal Information Last Name * First Name * Middle Initial * Email Address * Home Phone * Alternate / Mobile Phone * Street Address * City * State * Zip Code * Are you entitled to work in the United States? * Yes No Are you 18 or older? * Yes No If yes, what is your Age: Have you been convicted of a felony or been incarcerated in connection with a felony in the past 7 years? * Yes No If yes, please explain: Military Service? * Yes No Branch Are you a veteran? * Yes No War What position are you applying for? * How did you hear about this position? * Expected Hourly Rate: * Expected Weekly Earnings * Available Start Date * Prior Work Experience Current or Most Recent Employer Address Phone Number Name of Immediate Supervisor Position / Job Title Dates of Employment ex. From 6/12 To 7/15 Pay Reason for Leaving May we contact? Yes No OtherOther Prior Employer #1 Address Phone Number Name of Immediate Supervisor Position / Job Title Dates of Employment ex. From 6/12 To 7/15 Pay Reason for Leaving May we contact? Yes No OtherOther Prior Employer #2 Address Phone Number Name of Immediate Supervisor Position / Job Title Dates of Employment ex. From 6/12 To 7/15 Pay Reason for Leaving May we contact? Yes No OtherOther Education High School * Name / Location Last Grade Completed * Degree * Major or Emphasis College / University Name / Location Number of Years Completed Degree Major or Emphasis Trade School / Other Name / Location Number of Years Completed Degree Major or Emphasis Single Line Text Personal References Reference 1 * First and Last Name Address * Phone Number * Reference 2 * First and Last Name Address * Phone Number * Single Line Text * First and Last Name Address * Phone Number * Signature Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records. Signature * Type Your Name Here Date * I provide my express consent to Hermitage Roofing Florida to contact me via Phone, Email and/or SMS. I understand that my consent is not a requirement for purchase, and I may withdraw my consent at any time. If you are human, leave this field blank. Δ
