This application, once submitted, will be valid for 30 days from time of application.

Windward Roofing considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, union affiliation, sexual orientation or any other legally protected status.

APPLICANTS MAY BE TESTED FOR DRUG USE.
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

What experience do you have? (Check all that apply)

Flat Roofer
Sheet Metal
Service Tech
Shingler
Warehouse
Driver
Masonry
Laborer

Do you own your own tools?

Yes
No

When Can you start?

Hourly Wage Requested

Please enter a number greater than or equal to 0.

Have you ever worked at Windward Roofing before?

No
Yes

If Yes, when?

How did you hear about Windward Roofing?

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone

Are you over the age of 18?*

Yes
No

Are you currently employed?

Yes
No

May we contact your present employer?

Yes
No

Were you in the military?

Yes
No

If Yes, what branch?

Are you currently on “lay-off” status and subject to recall?

Yes
No

Have you been convicted of a felony within the last 7 years?*

Yes
No

(Conviction will not necessarily disqualify you for employement)

Can you travel of the job requires it?*

Yes
No

Do you have a reliable means of transportation?*

Yes
No

Do you have a valid drivers license?*

Yes
No

If Yes, is your drivers license a CDL?

Yes
No

Have you ever been in an accident?*

Yes
No

If Yes, please provide additional information:

Have you ever been injured in your prior jobs?*

Yes
No

If Yes, please provide additional information:

Work History and Experience

Start with your present or last job.

Employer 1

Employer Name*

Address*

Supervisor’s Name

Phone Number*

Work Performed*

Reason for Leaving*

Employed From*

Employed To*

Employer 2

Employer Name*

Address*

Supervisor’s Name

Phone Number

Work Performed*

Reason for Leaving*

Employed To*

Employed From*

Education

Grammar School Name

Location

Number of Years Completed

High School Name

Location

Number of Years Completed

Trade School Name

Location

Number of Years Completed

Trade School Major of Degree

Other School Name

Location

Number of Years Completed

Other School Major of Degree

Other School/Training

Personal References (Not Family)

Name 1*

Address*

Telephone Number*

How long have you known this person?*

Describe your relationship to this person:

Name 2*

Address*

Telephone Number*

How long have you known this person?*

Describe your relationship to this person:

Name 3*

Address*

Telephone Number*

How long have you known this person?*

Describe your relationship to this person:

Applicant Signature

Please read and understand this statement before signing your application.

The information I have provided in this Application for Employment is true and correct to the best of my knowledge. False, incomplete or misrepresentated information of any kind, will be cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize Windward to contact and obtain information about me from previous employers, educational institutions and "references" I have provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against Windward or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who information for this purpose.

This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.

This application is not an employment agreement. If I accept an offer of employment I understand that Windward may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of Windward, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.

Clicking on the submit button will be taken as signing this application with the name and date provided below.

I fully understand and accept all terms and conditions in the above statement.

Signature of Applicant*

Type your name here as your signature

Date Signed*

Indiana Office

INDIANA OFFICE

CONTACT

Work History and Experience

Employer 1

Employer 2

Education

Personal References (Not Family)

Applicant Signature