CAREERS AT ABOVE ALL ROOFING OF ROCHESTER INC.Work With People Who CareApplication How did you hear about Above All Roofing? Social Media Internet Search Print Ad (Newspaper, Mailer, Magazine) Radio TV Other First Name Last Name Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number Email Social Security Number Date Available to Start Annual Salary Requirement If you are under 18 years of age, can you provide work a prermit? Yes No Have you ever worked for Above All Roofing? Yes No Are you legally allowed to work in the United States? Yes No Type of Employment desired Full-Time Part-Time Temporary Seasonal Driver's License Number Education History Name & Location of High School Did you graduate? Yes No Name & Location of College Year Started Year Ended Degree(s) Completed Other Subjects Studied Trade/Business/Correspondence School & Location Year Started Year Ended Subjects Studied Summarize Your Special Skills or Qualifications Previous Employment (Please begin with most recent position.) Start Date End Date Company Name Position(s) Held Company Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number Supervisor Name & Title Job Responsibilities Starting Salary & Title Ending Salary & Title Reason for leaving May we contact this employer for a reference? Yes No Resume References Consent I Consent to the Application Authorization 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 you any 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, 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. Submit