Job Application Step 1 of 5 20% Applicant InformationDate of Application MM slash DD slash YYYY Applicant Name* First Middle Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Telephone Number*Email Address* Date Available* MM slash DD slash YYYY Position Applying For*Please SelectOffice/AdminSalesProductionRooferEmployment Desired*Please SelectFull-TimePart-TimeSeasonalDesired Pay* Personal InformationHave you ever applied to or worked for Rhoden Roofing before? (Yes/No) If yes, when?Do you have any friends, relatives, or acquaintances working for Rhoden Roofing? (Yes/No) If yes, state name & relationship:Are you 18 years of age or older?*Are you a U.S. citizen or approved to work in the United States? (Yes/No)*What document can you provide as proof of citizenship or legal status?*Do you have a valid KS Drivers License?*Will you consent to a mandatory controlled substance test? (Yes/No)*Do you have any condition which would require job accommodations? (Yes/No) If yes, please describe accommodations required below.*Have you ever been convicted of a criminal offense (felony or misdemeanor)? (Yes/No) If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:*(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.) Job Skills/QualificationsPlease list below the skills and qualifications you possess for the position for which you are applying:*(Note: Rhoden Roofing complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )Education and TrainingHigh SchoolNameLocation (City, State)Year GraduatedDegree EarnedCollege/UniversityNameLocation (City, State)Year GraduatedDegree EarnedVocational School/Specialized TrainingNameLocation (City, State)Year GraduatedDegree EarnedAre you a member of the Armed Services?What branch of the military did you enlist?What was your military rank when discharged?How many years did you serve in the military?What military skills do you possess that would be an asset for this position? Previous EmploymentEmployer Name:Job Title:Supervisor Name:Employer Address:City, State and Zip Code:Employer Telephone:Dates Employed:Reason for leaving:Previous EmploymentEmployer Name:Job Title:Supervisor Name:Employer Address:City, State and Zip Code:Employer Telephone:Dates Employed:Reason for leaving:References Please provide 2 personal and professional reference(s) below:Name*Contact Information*Name*Contact Information* AT-WILL EMPLOYMENT The relationship between you and Rhoden Roofing is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Rhoden Roofing. No representative of Rhoden Roofing has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.Date MM slash DD slash YYYY SignatureConsent I have read the At-Will Employment section and agree to its terms and conditionsUpload Resume*Max. file size: 64 MB.Upload proof of citizenship or legal statusMax. file size: 64 MB.CommentsThis field is for validation purposes and should be left unchanged.
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