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Email
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Are you eligible to work in the United States?
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Have you ever been convicted of a felony?
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Are you 18 years of age or older?
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Are you currently employed?
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Do you have a valid driver's license?
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Education
Did you graduate high school?
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Date of Graduation
Name of High School
Did you go to college?
Yes
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Name of College
Degree Recieved
Skills
Please list technical skills, trade skills etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert).
Skills
Work Experience
Please detail your current or most recent employer. Ommision of prior employment may be considered falsification of information. PLEASE NOTE: We reserve the right to contact all current and former employers for reference information.
Employer/Company Name
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To
Supervisor Name
Supervisor Phone
Primary Duties
Submission
I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Zimmer Roofing to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Zimmer Roofing serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations.
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I HAVE READ THE ABOVE STATEMENT CAREFULLY AND SIGN THAT I UNDERSTAND AND ACCEPT THIS INFORMATION.
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