Employment Application

Please complete this application completely. INCOMPLETE applications will not be considered. Mitchell Roofing, Inc. is an Equal Opportunity Employer.

POSITION APPLIED FOR

Position(Required)

Administrative Assistant

Sales Associate

Sales Manager

Laborer

Installer

Project Manager

Foreman

PERSONAL DATA

Name(Required)

First Middle Last Suffix

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Have you previously worked for Mitchell Roofing?(Required)

Yes

No

If so, when and in what position?

Do you have experience in(Required)

roofing

construction

office

sales

I have experience in none of these

Do you have reliable transporation?(Required)

Yes

No

Are you a veteran of military service?(Required)

Yes

No

When are you available to work?(Required)

Can you work overtime, with or without advanced notice?(Required)

Yes

No

List any days or hours you CANNOT work

Check the type of work you will accept(Required)

Permanent FT

Permanent PT

Temporary FT

Temporary PT

Any

What date will you be able to start work(Required)

Are you legally eligible to work in the United States?(Required)

Yes

No

How did you learn about this position?

Friend/Family Member

Website

While Visiting

Other

Have you ever been terminated from employment, or been asked to resign from an employment position?(Required)

Yes

No

If yes, please explain

Why are you seeking employment?(Required)

How soon can you start, if offered a position?(Required)

Immediately

1 week notice

2 week notice

Later than 2 weeks

EDUCATION

Degree received?(Required)

Yes

No

Highest level of education completed

HS Diploma/GED

College 1

College 2

College 3

College 4

Name and address of college or trade school

Training length

Date completed

Major

Minor

WORK EXPERIENCE

Company name(Required)

Immediate supervisor(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Job title(Required)

Phone(Required)

Job Description (duties, skills, equipment used)(Required)

Date from(Required)

Date to(Required)

Reason for leaving(Required)

Starting salary

Ending salary

Eligible for rehire?(Required)

Yes

No

Company name

Immediate supervisor

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Job title

Phone

Job Description (duties, skills, equipment used)

Date from

Date to

Reason for leaving

Starting salary

Ending salary

Eligible for rehire?

Yes

No

Company name

Immediate supervisor

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Job title

Phone

Job Description (duties, skills, equipment used)

Date from

Date to

Reason for leaving

Starting salary

Ending salary

Eligible for rehire?

Yes

No

LIST REFERENCES (Persons who know about your work/training. Do not list family members.

Name(Required)

First Last

Relationship to you ("previous supervisor", etc)(Required)

Company(Required)

Phone number(Required)

Name(Required)

First Last

Relationship to you ("previous supervisor", etc)(Required)

Company(Required)

Phone number(Required)

Name(Required)

First Last

Relationship to you ("previous supervisor", etc)(Required)

Company(Required)

Phone number(Required)

Upload your resume(Required)

Max. file size: 64 MB.

By clicking the box below, I certify that I have read, I understand, and I agree to all terms set forth in this employment application. Further, I understand and agree that my continued employment is contingent, in part, on my compliance with all Mitchell Roofing, Inc. policies and procedures.(Required)

BY CHECKING THIS BOX, YOU AGREE TO THESE TERMS

AUTHORIZATION TO CONTACT REFERENCES
I agree that Mitchell Roofing, Inc. may contact the past employers and/or personal references I have provided in order to verify my employment history and work record. I authorize all past employers, educational institutions, government agencies, and/or personal references to release any and all information concerning my past employment work history, performance, and personal character. I hereby release all such employers, personal references, and Mitchell Roofing, Inc. and its ownership from any and all liability resulting from damages I may incur resulting from the reference verification process. I understand that my employment or continued employment is contingent upon my successfully completing reference checks.

AT-WILL EMPLOYMENT
I also understand that if employed by Mitchell Roofing, Inc., my employment is "at will" and can be terminated at any time for any reason or for no reason, either by myself or the Company. Further, I understand that no part of this Employment Application implies a guarantee of employment or continued employment.

AGREEMENT TO PROVIDE AUTHENTIC ELIGIBILITY DOCUMENTS
I understand that it is unlawful for employers in the United States to employ anyone who is not legally authorized to work in the United States. I agree to provide whatever documentation the law permits or requires employers to use in validating such work eligibility requirements. Further, I certify that any work authorization documents or information I provide to the Company are authentic and have been officially issued to me by the regulating agency.

STATEMENT OF ACCURACY AND TRUTHFULNESS
I certify that all information I have provided on this application is accurate. False information or omission of facts on this application may disqualify me from consideration for employment or may result in my immediate dismissal if I am hired.

BACKGROUND CHECK
I understand that any offer of employment made to me by Mitchell Roofing, Inc. is contingent upon my successfully completing a pre-employment criminal background check. Further, I understand that Mitchell Roofing, Inc. will provide me with instructions for providing authorization and for completing my background check through an independent third-party provider of such services, if I am offered employment. The background check will include my driving record only if the position I am offered may require me to drive Company vehicles.

DRUG TESTING CONSENT
I understand that any employment offer made to me by Mitchell Roofing, Inc. is contingent upon my successfully completing a pre-employment drug screen. Further, I understand that Mitchell Roofing, Inc. will provide me with instructions for providing authorization and for completing my pre-employment drug test through a certified testing facility, if I am offered employment. Further, I understand that the Company's Drug and Alcohol Policy requires employees to submit to drug screening for the following additional reasons:
1. When Company management has reasonable suspicion that an employee is in violation of the Company Drug and Alcohol policy.
2. Any work-related injury experienced by the employee while performing his or her job duties, or while on the clock, that prevents the employee from completing his or her shift, or which requires medical attention beyond basic first-aid.
3. Random testing as permitted by law.

DRIVER'S LICENSE
I understand that I will be required to present a valid North Carolina driver's license, if I will be required to drive on the job. Further, I understand that my continued employment, if I am required to drive on the job, may be contingent on my maintaining a valid North Carolina driver's license and a clean driving record.

Equal Opportunity Employer (EOE) Statement
Mitchell Roofing, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without
regard to race, color, religion, sex, national origin, sexual orientation, age, veteran status, or disability. In addition to Federal law
requirements, Mitchell Roofing, Inc. complies with applicable state and local laws governing nondiscrimination in employment.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination,
layoff, recall, transfer, leaves of absence, compensation, and training. Mitchell Roofing, Inc. expressly prohibits any form of workplace harassment based on to race, color, religion, sex, national origin,
sexual orientation, age, veteran status, or disability.

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Employment Application

POSITION APPLIED FOR

PERSONAL DATA

EDUCATION

WORK EXPERIENCE

LIST REFERENCES (Persons who know about your work/training. Do not list family members.

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