Application for Employment Position Applying For: * Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Date you can start work? MM DD YYYY Hours: Full Time Part Time Are you authorized to work in the U.S. on an unrestricted basis? Yes No Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant from employment.) Yes No If yes, please explain: Have you been told the essential functions of the job, or have you been viewed a copy of the job description listing the essential functions of the job? Yes No Can you perform these essential functions of the job with or without reasonable accommodation? Yes No Highest Level of Education and Program Completed Experience #1 Position Title Date Started MM DD YYYY Last Date of Experience MM DD YYYY Reason for Leaving Experience #1 Duties and Responsibilities Experience #2 Position Title Date Started MM DD YYYY Last Date of Experience MM DD YYYY Reason for Leaving Experience #2 Duties and Responsibilities Experience #3 Position Title Date Started MM DD YYYY Last Date of Experience MM DD YYYY Reason for Leaving Experience #3 Duties and Responsibilities After submitting the application, you will be prompted to where you can send your resume (optional) Thank you for applying with Collins Roofing and Sheet Metal. We will review your interest and qualifications and get back with you. If you have a resume, you can also email it to us at Brandon@collins-mrc.com
