EnglishEspañol Field Employment Application Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Primary Phone*Email* Do you have a Driver's License?* Yes No Are you legally eligible to work in the US?* Yes No How Did You Hear About Us?*IndeedFacebookGoogleJob NewsLinkedInSkilled TradesIN Career ConnectKY Employment ServicesIRC Company WebsiteNow Hiring Signs/BannersJob FairReferralOtherIf Referred by an employee of IRC, provide name: For Field Position OnlyCan you work at heights?* Yes No Can you travel out of town for two (2) week periods of time?* Yes No Desired hours* Full-time Part-time Will you work overtime hours?* Yes No Will you work weekends?* Yes No Salary or rate of pay desired?* Date available to start work?* Previously worked here?* Yes No If yes, give dates* Do you have a reliable means of transportation to and from work?* Yes No Are you willing to complete a drug screen and background check as part of our drug free workplace?* Yes No Have you ever been convicted of any misdemeanor or felony that has not been expunged by a court (this includes, without limitation, pleading guilty, pleading no contest, or having judicial finding of guilt)?* Yes No Conviction will not necessarily disqualify an applicant from employment.If yes, where, for what, and give dates:*Work HistoryList most recent employer first. Resume (optional)Max. file size: 50 MB.Please attach your Resume and references using a .pdf or Word.doc ONLY!Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Employer's name, Location (city & state)*HiddenSupervisor name, phone number* Job title and duties*Salary/hourly rate* Reason for leaving* Quit Layoff Discharge Presently Employed MiscellaneousDo you have previous roofing experience?* Yes No Please describe your roofing experience: If yes, with which type of roofing systems? Select all that may apply* Spray Foam EPDM TPO PVC Metal Mod. Bit. NONE How many years have you been in the roofing industry? With what company(s)? Do you have any construction experience?* Yes No Please describe your construction experience; How many years have you been in the construction industry? With what company(s)? List any special skills or training we should be aware of in considering your application Applicant StatementBy signing below, I certify that all information in this Employment Application is true and correct to the best of my knowledge, and I agree that falsification and/or omission of information considered by IRC to be material may result in my disqualification from consideration for employment or my dismissal from employment. I understand that if IRC offers me employment, such employment will be “at-will” — this means that I can resign my employment with IRC at any time, for any reason or no reason, and IRC can terminate my employment at any time, with or without prior notice, warning or cause. I further understand that if IRC offers me employment, such offer does not constitute a contract of employment or a guarantee of continued employment for any period.I have read and understand the contents of this employment application and am fully able and competent to complete it.* Full Name Date NameThis field is for validation purposes and should be left unchanged. Δ
