Application for Employment

Mint Roofing is an equal opportunity employer dedicated to a policy of nondiscrimination in employment upon any basis, including race, color, creed,
religion, age, sex, national origin, ancestry, sexual orientation, marital status, or the presence of any physical or mental medical condition or disability.

In reading and answering the following questions, please keep in mind that none of the questions are intended to imply any limitations, illegal
preferences, or discrimination based upon any non-job related information.

This application will be given complete consideration, but its receipt does not imply that the applicant will be employed.

Application for Employment

Personal Data

Date of Application(Required)

MM slash DD slash YYYY

Name(Required)

First Last

Home Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Position(s) Applied For(Required)

Date Available to Start Work(Required)

MM slash DD slash YYYY

Type of work desired(Required)

Full Time

Part Time

Temporary

Summer Only

Are you currently a member of Roofer's Local 96?(Required)

Yes, %

Yes, Journeyman

Are you 18 years of age or older?(Required)

Yes

General Information

Is this the first time you have applied at Mint Roofing? If no, please give date and position applied for.(Required)

Yes

Date Applied(Required)

MM slash DD slash YYYY

Position Applied(Required)

Are you a U.S. citizen or otherwise currently authorized to obtain lawful employment in this country?(Required)

Yes

If the job desired requires use of a motor vehicle, do you have a valid Minnesota driver’s license?(Required)

Yes

During the past seven years, have you ever been denied a driver’s license, or convicted of a moving traffic offense, including, but not limited to, reckless driving? If yes, please explain.(Required)

Yes

Explanation(Required)

Have you ever been convicted of a felony, or released from prison? (Note: A “yes” answer does not automatically disqualify you from employment since the nature of the offense, date, and type of job for which you are applying will be considered.) If yes, please explain.(Required)

Yes

Explanation(Required)

Education

(Please include high school, college and any technical, vocational or military training)

Name and location of school(Required)

Number of years completed(Required)

Degree/Diploma received(Required)

Name and location of school

Number of years completed

Degree/Diploma received

Name and location of school

Number of years completed

Degree/Diploma received

Please list and describe any additional information, including paid or unpaid activities, honors, experience or training that might aid you in performing the job(s) for which you have applied, and have not listed previously in this application. (You may omit any information, activities, honors, memberships or other items that may identify your race, sex, national origin, age, disability or other personal traits that you prefer not to disclose.)

References

Please list three individuals who are not former employers or relatives.

Reference 1 Name(Required)

First Last

References 1 Address(Required)

Street Address Address Line 2 City State ZIP Code

Reference 2 Name(Required)

First Last

References 2 Address(Required)

Street Address Address Line 2 City State ZIP Code

Reference 3 Name(Required)

First Last

References 3 Address(Required)

Street Address Address Line 2 City State ZIP Code

Employment History

Please provide complete information. Be specific. Start with your current or most recent job. Include self-employment and military service. Show any changes in job title for the same employer as a separate position.

Employer 1(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Job title and duties(Required)

Dates of employment(Required)

Reason(s) for leaving(Required)

Supervisor and phone number, if known

Employer 2

Address

Street Address Address Line 2 City State ZIP Code

Job title and duties

Dates of employment

Reason(s) for leaving

Supervisor and phone number, if known

Employer 3

Address

Street Address Address Line 2 City State ZIP Code

Job title and duties

Dates of employment

Reason(s) for leaving

Supervisor and phone number, if known

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.