General Information
EMPLOYMENT RECORD (List Most Recent Employment First)
Education & Training College University or Technical School
College University or Technical School
High School Last Attended
References (List 3 Persons, other than relatives or personal friends, who have knowledge of your work experience and/or education)

Reasonable Accomodations
AUTHORIZATION (Application Must Be Signed Prior To Submitting)

Roof911 does not discriminate in hiring or employment on the basis of race, color, religion, sex, age, national origin, physical or mental disability or veteran status, or any other class protected by federal, state and local laws. No question on this application is intended to secure information to be used for such discrimination.

Reasonable Accomodations

Applicant Voluntary Self-Identification of Gender and Race/Ethnicity Please read all instructions carefully before completing the form below.This self-identification form is optional. Your cooperation is appreciated.

Anti-discrimination Notice

It is unlawful employment practice for an employer to fail or refuse to hire or to discharge any individual, or otherwise to discriminate against any individual with respect to that individual's terms and conditions of employment, because of such individual's race, color, religion, sex, national origin or other protected categories by law. Roof911 is subject to certain governmental record keeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite applicants to voluntarily self-identify their race, ethnicity and gender. Submission of this information is voluntary, and refusal to provide it will not subject you to any adverse treatment and is not a part of your official application for employment. The information will not be used in any hiring decision. The information provided will be kept confidential and may only be used in accordance with the provisions of the applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.


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