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Step 1 of 5 - Personal Information

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
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Are You Eligible To Work In The United States?*
Have you been convicted of a felony within the last five years?*
If Yes, Please Explain:*

Please list any schools you have attended, any degrees, and graduation dates:*
Any Certifications?
Please list any skills or qualifications you have:*

Current Employer
Employer*
Employer Address*
Street Address Address Line 2 City State ZIP Code
Employer Phone*
Employer Email
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Supervisor's Name*
First Last
Salary
Starting & Ending Dates of Employment*
Reason For Leaving*
Do you give us permission to contact your current employer?*
Previous Employer
Employer*
Employer Address
City State / Province / Region ZIP / Postal Code
Employer Phone*
Employer Email
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Supervisor's Name*
First Last
Salary
Starting & Ending Dates of Employment*
Reason For Leaving*
Do you give us permission to contact your previous employer?*

Reference #1
Name*
First Last
Job Title*
Company*
Address*
City State / Province / Region ZIP / Postal Code
Phone*
Email
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Reference #2
Name*
First Last
Job Title*
Company*
Address*
City State / Province / Region ZIP / Postal Code
Phone*
Email
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Reference #3
Name*
First Last
Job Title*
Company*
Address*
City State / Province / Region ZIP / Postal Code
Phone*
Email
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Do you have a resume you would like to include?*
Upload your resume:
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Consent*
I agree to the following:
authorize the verification of the information listed above. I certify that the information contained in this employment application is accurate. I understand that false information may be grounds for not offering employment or for termination of employment at any point in the future.
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Our team is here to help you with your roofing needs.

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(234) 281-1754

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bllc@blcroofingoh.com

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Mon-Sat: 8 am - 6 pm

Sunday: Closed

BLCROOFING

894 W Wilbeth Rd.
Akron, OH 44314

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