First Name      Last Name 

Address 

City      State      Zip 

Day Phone      Evening Phone 

Why are you looking for a job? 

Why are you looking for a roofing Job? 

What roofing skills do you have? 

Education

High School Name 

High School Diploma? Yes  No    GED Date 

College Name 

Valid Drivers License Yes   No

Estimate how many points you have in the last 5 years? 

Do you own a car? Yes  No     If yes, Make and Year of car 

Any special reason you would like to work for Bruttell Roofing?

Best subject in school? 

Did you take shop class or auto mechanics? 

Personal Information

What time do you like getting up in the morning? 

How often are you late for work? Always   Sometimes   Never

What was the longest period of time that you worked for one employer? 

What was the best job you ever had? Why was it the best?

What jobs or experience have you had where you worked outside?

What was the most physically demanding work you have done?

Can you work when it's very hot? Yes   No

Can you work in the cold? Yes   No

What tools do you own or know how to use well?; 

What repairs can you do on your own car?

Have you ever worked for a roofing company? Yes   No

If yes, where and for how long? 

What were your job responsibilities?

Any other skills construction or otherwise would you like to share with us?

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