New England Masonry & Roofing

Employment Application Part 1

    We are an equal opportunity employer dedicated to a policy of nondiscrimination in employment on any basis including race, color, age, sex, religion, handicap or national origin.

    * indicates required field.

    PERSONAL INFORMATION

    Are you 18 years of age or older?*YesNo

    Today’s Date*

    Social Security Number:*

    First Name*

    Middle Name

    Last Name*

    Street Address*

    City*

    State*

    Zip*

    Phone*

    HOW DID YOU HEAR ABOUT US?*

    Are you fluent in speaking/reading English?*YesNo

    Have you ever worked at New England Masonry & Roofing Co. in the past?*YesNo

    POSITION APPLYING FOR:

    (Check one)*RooferRestoration MasonCarpenterRoofing LaborerRestoration LaborerSheetmetal MechanicOther

    If other, please specify:

    List any experience in the position for which you are applying*

    List any Related Skills (CDL, Asbestos and/or lead Certification*

    Drivers License #*

    List any violations within the past five (5) years. If 0, put N/A.

    Please provide copy of Drivers License with this Application (You will have the option on the next page.

    EDUCATION:

    (check highest grade level completed)*Grammar SchoolHigh SchoolCollegeTrade/Technical School

    EMPLOYER INFORMATION:

    Are you currently employed?*YesNo

    If yes, may we call your present employer?YesNo

    EMPLOYMENT INFORMATION

    List your last three employers, starting with the most recent:

    Employer*

    Phone*

    Address*

    Dates Employed (From / To)*

    Salary Upon Leaving*

    Position*

    Reason for leaving*

    Employer

    Phone

    Address

    Dates Employed (From / To)

    Salary Upon Leaving

    Position

    Reason for leaving

    Employer

    Phone

    Address

    Dates Employed (From / To)

    Salary Upon Leaving

    Position

    Reason for leaving


    [multistep “1-2-/employment-application-part-2”]