Application for Employment

Transcription

1 Commercial Roofing Specialties Peachtree Square Doraville, GA (Fax) Application for Employment Commercial Roofing Specialties, Inc. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status. Name (First) (Middle) (Last) (Street) (City) (State/Zip) Phone# (Home) (Cell) Position Sought Available Salary Desired Are you over 18 years old? Yes No Are you legally eligible for employment in the United States? Yes No (If offered employment, you will be required to provide documentation to verify eligibility.) Can you work any shift? Yes No Can you work overtime, including weekends? Yes No Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? Yes No If no, please explain. (If you have any question as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer this question)

2 REFERRAL SOURCE How did you hear about us? Walk In Advertisement Referral Other Have you ever worked for this company before? Yes No Explain Do you know anyone who works for our company? Yes No If yes, who? EDUCATION: Please indicate education or training which you believe qualifies you for the position you are seeking. High School: No. of Years Completed (circle one) Diploma: Yes No G.E.D.: Yes No School(s) City/State College and/or Vocational School: Number of Years Completed (circle one) School(s) City/State Major Degrees Earned Other Training or Degrees: School(s) City/State Course Degree or Certificate Earned PROFESSIONAL LICENSE OR MEMBERSHIP: Type of License(s)Held Other (You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.)

3 EMPLOYMENT HISTORY Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration. List last employer first, including U.S. Military Service. May we contact your present employer? Yes No Employer Employer

4 Employer Employer Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain. Computer Skills (please describe):

5 REFERENCES Give the names of three persons not related to you, whom you have known at least three (3) years. Name, Phone, Company Years Acquainted APPLICANT S CERTIFICATION AND AGREEMENT I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Commercial Roofing Specialties, Inc. to verify their accuracy and to obtain reference information on my work performance. I hereby release Commercial Roofing Specialties, Inc. from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause. Applicant s Name (Print) Signature of Applicant Witness Signature

6 DISCLOSURE OF INTENTION TO OBTAIN CONSUMER REPORT FOR EMPLOYMENT PURPOSES This disclosure is being provided to you pursuant to the federal Fair Credit Reporting Act ( FCRA ), 15 U.S.C et seq. Under the FCRA, Commercial Roofing Specialties, Inc. ( CRS ) is required to make a clear and conspicuous written disclosure to you that CRS may obtain a criminal background report, employment history, driving record, education history, and/or other consumer reports* about you from a consumer reporting agency. These consumer reports may be used to evaluate your eligibility for hire or your continued employment with CRS, or for other employment purposes. These consumer reports may be obtained by CRS at any time after the receipt of your authorization to obtain the reports, and, if you are hired by CRS, throughout your employment with CRS, subject to applicable law. Subject to your written authorization, to be provided by you separately on the accompanying Authorization Regarding Intention to Obtain Consumer Report for Employment Purposes form, the consumer reporting agency that will prepare and provide the report to CRS will be: First Advantage Background Services Corp. P.O. Box Atlanta, GA Phone: Fax: By signing below, you acknowledge that CRS has made a clear and conspicuous disclosure to you, in a document that consists solely of the disclosure, that CRS may obtain a consumer report under the FCRA about you for employment purposes. Applicant s Signature: Printed Name: : * Under the FCRA, a consumer report is any written, oral, or other communication of any information by a consumer reporting agency bearing on an individual s credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in establishing the individual s eligibility for, among other things, employment. AUTHORIZATION REGARDING INTENTION TO OBTAIN CONSUMER REPORT FOR EMPLOYMENT PURPOSES

7 By signing below, you acknowledge and agree as follows: I voluntarily and fully authorize Commercial Roofing Specialties, Inc. ( CRS ) to obtain consumer reports on me for employment purposes as set forth in the Disclosure of Intention to Obtain Consumer Report for Employment Purposes, which I received separately and signed to acknowledge my receipt and understanding; I voluntarily and fully authorize the release of all information necessary for CRS to obtain consumer reports on me for employment purposes as set forth in the Disclosure of Intention to Obtain Consumer Report for Employment Purposes, including but not limited to criminal records, employment records, driving records, and educational records; I agree that if I become employed by CRS, CRS is authorized by me, at any time during the course of my employment, to obtain subsequent criminal background reports, driving records, or other consumer reports about me so as to update, renew, extend or evaluate my continued employment, or to consider me for other employment positions, except where prohibited by applicable law; I understand and acknowledge that, if CRS obtains credit history information on me, it will be used to evaluate whether I would present an unacceptable risk of theft or other dishonest behavior in the job for which I am being considered; and I understand and acknowledge that CRS may be required to share the consumer reports it obtains about me, or the information contained therein, with appropriate third parties for employment-related purposes, and I expressly authorize CRS to make such disclosures. I hereby authorize CRS or its designated representative to electronically send me any and all notices relating to a consumer report obtained about me, as well as any copies of such consumer reports, by ing same to the address I provided CRS as part of my application for employment, and I agree that delivery by this method shall be sufficient and that no further delivery via the U.S. Mail shall be required. Applicant s Signature: Printed Name: :