Employment Application | Metal Roofing

Employee Application Form

Apply to join the team at any of our three Ohio locations. Fields marked are required. Click each section heading below to expand it.

Personal Information

Name

Date

Address

Street Address Line 2

City

State

Zip

Phone

Marital Status

Date of Birth

Are you exempt from Social Security? (Y/N)

Position

Date of Application

Salary Desired

Date You Can Start

Type of Work Desired

Are you currently employed?

Yes

Who is your present employer?

Which Premier Metals location are you applying to?

Education

School 1

Name of School

Location

Grades Completed

School 2

Name of School

Location

Grades Completed

School 3

Name of School

Location

Grades Completed

General

Summarize any job related special training, skills, licenses, certificates, and/or other qualifications

Have you ever been convicted of a felony?

Yes

If yes, please explain

How did you hear about us?

Employment History

List your former employers, beginning with the most recent.

Employer 1

Start Date

End Date

Employer

Supervisor

Address

Phone

Position

Salary/Hourly

Reason for Leaving

Employer 2

Start Date

End Date

Employer

Supervisor

Address

Phone

Position

Salary/Hourly

Reason for Leaving

Employer 3

Start Date

End Date

Employer

Supervisor

Address

Phone

Position

Salary/Hourly

Reason for Leaving

References

Reference 1

Name

Address

Phone

Business & Years Acquainted

Reference 2

Name

Address

Phone

Business & Years Acquainted

Family / Parents

Parents' Names

Address

Phone

Father's Occupation

Drug/Alcohol Policy

This company has a drug free policy, and does random drug and alcohol tests. Not passing a random drug or alcohol test will be cause for dismissal.

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

Type your full name as your signature

Date