Job Application

Name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is mailing address the same?

Yes

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Date of Birth(Required)

Last four digits of Social

Are you a US citizen?(Required)

Yes

Are you authorized to work in the U.S.?(Required)

Yes

Do you have a valid PA drivers license?(Required)

Yes

Do you have a medical card?(Required)

Yes

Do you have a Standard or Commerical CDL license?(Required)

Yes

Do you have Crane Truck Certification?(Required)

Yes

Do you have Hook Truck Operating Experience?(Required)

Yes

Employment

Have you ever been an employee of Alex Roofing Company?(Required)

Yes

If you were previously employed by Alex Roofing Company, what dates were you employed?(Required)

Beginning Date

Employment End Date(Required)

End Date

Please fill out your previous employment history using the following information. You must fill out your most recent employer information.

Previous Employer(Required)

Supervisor(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title(Required)

Starting Salary(Required)

Ending Salary(Required)

Responsibilities(Required)

Starting Date(Required)

Ending Date(Required)

Reason for Leaving(Required)

May we contact your supervisor for a reference?(Required)

Yes

If we cannot contact your supervisor, please explain.(Required)

Previous Employer

Supervisor

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Starting Salary

Ending Salary

Responsibilities

Starting Date

Ending Date

Reason for Leaving

May we contact your supervisor for a reference?

Yes

If we cannot contact your supervisor, please explain.

Previous Employer

Supervisor

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Starting Salary

Ending Salary

Responsibilities

Starting Date

Ending Date

Reason for Leaving

May we contact your supervisor for a reference?

Yes

If we cannot contact your supervisor, please explain.

Education

High School Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date(Required)

End Date(Required)

Did you graduate?(Required)

Yes

Degree or Diploma Achieved

College or University Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date

End Date

Did you graduate?

Yes

Degree or Diploma Achieved

References

Reference 1 Name(Required)

Relationship(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 2 Name(Required)

Relationship(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Military Service

Did you serve in any branch of the military?(Required)

Yes

Which branch of the military?(Required)

From and To Dates(Required)

Rank at Discharge(Required)

What type of discharge?

Honorable

Other than Honorable

Please explain why you were discharged.(Required)

Certifications

Do you have any certifications?(Required)

Yes

Certifications(Required)

Have you completed OSHA 10-Hour Safety Program Training?(Required)

Yes

If yes, do you have a copy of your certification card?(Required)

Yes

Have you completed OSHA Fall Protection Training?(Required)

Yes

If yes, do you have a copy of your certification card?(Required)

Yes

Have you completed forklift training?(Required)

Yes

If yes, do you have a copy of your certification card?(Required)

Yes

Equipment Knowledge

Forklift(Required)

Yes

Lull (all terrain forklift)(Required)

Yes

Skidsteer(Required)

Yes

Roof Cutter(Required)

Yes

Welding Robot(Required)

Yes

Pace Cart(Required)

Yes

If there is other equipment you have training to operate, please list it here:

Clearances

Some job sites require all crew members to have valid PA school clearances on file.

Do you have a criminal record?(Required)

This will not solely prohibit you from employment. It is only used as a reference in regards to the job site requirements of certain facilities.

Yes

Do you have a minor record?(Required)

Includes misdeamor, DUI and other infractions that do not fall under the PA Act 24 of 2011 and Act 82 of 2012.

Yes

Do you have another record?(Required)

Includes felonies and other infractions that fall under the PA Act 24 of 201 and Act 82 of 2012.

Yes

Upload File(Required)

Accepted file types: jpg, png, pdf, docx, doc, Max. file size: 10 MB.

Here you can upload your resume.

Checkbox acknowledgement required:(Required)

I certify that my answers are true and complete to the best of my knowledge.

Alex Roofing Co., Inc. reserves the right to verify all the information submitted on this application.

Alex Roofing is a drug free workplace.

Alex Roofing is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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Trust the Professionals

Trust the professionals at Alex Roofing Company, Inc. to provide the correct solution for your commercial waterproofing job.
Our Commercial Division is your best resource for any questions you may have regarding our waterproofing services.

Call Today (814) 452-2539

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Job Application

Employment

Education

References

Military Service

Certifications

Equipment Knowledge

Clearances

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