Application - HKC Roofing & Construction

Name*

First Last

Date*

Position Applied For*

Attention: You must submit to a drug screen, conducted by a Hilton Kennedy manager, before you can be hired. This drug screen can detect marijuana use for over 20 days and has safeguards against various means of masking substance abuse. Further, Hilton Kennedy Company LLC., will choose the time for you to submit to the urine drug screen.

Consent*

I understand that if I fail the drug screen, I will not be hired

Instructions: Please read carefully. Every item on this form must be answered to the best of your ability. Your qualifications will be carefully reviewed and you will be given thorough consderation for any suitable vacancy. Upon employment, this application will become part of your permanent record with this company. Keep this in mind as you complete it. Special Note: You are not required to supply any information that is prohibited by Federal, State, or Local law. We are an Equal Opportunity Employer. You may request assistance to complete this application.

Personal

Name

First Middle Initial Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

Please include area code

Date of Birth

If younger than 18, state age here:

Are you legally entitled to work in the United States?*

Yes
No

Have you ever been convicted of a felony?*

Yes
No

Please explain*

Do you have a valid driver's license?*

Yes
No

License Number*

State*

Have you ever been convicted of a moving traffic violation?*

Yes
No

Please list all here:*

Have your driving privileges ever been revoked or suspended?*

Yes
No

Please list all here:*

Do you have a Commercial Driver's license?*

Yes
No

**Compliance with I-9 requirements is mandatory, upon employment.

Education

High School

High School Address

Did you graduate?*

Yes
No

If no, last grade completed*

G.E.D Obtained?*

Yes
No

Grade Average

College

College Address*

Street Address Address Line 2 City State ZIP Code

Did you graduate?*

Yes
No

If no, number of hours completed

Degree Obtained?

Grade Point Average

Major

Minor

If attending, date of graduation

Other Education

Military

List service in U.S. Military

Start Date

End Date

Branch

Rank at Discharge

Military Experience that may be applicable

General Employment Information

List here all of the equipment with which you have experience and training

Please use this space to list any special skills you may have that relate to the position applied for:

Were you previously employed by this company?*

Yes
No

Start Date*

End Date*

Salary Expected*

Number of hours available per week:*

Type of employment sought*

Regular Full Time
Regular Part Time
Temporary
Seasonal
As Needed

Employee Type

Hourly
Weekly

Which of these times are you available:*

Days
Nights
Weekends
Holidays

Are there any hours or days that you are unable to work?*

Yes
No

Please explain*

List names of relatives currently employed by this company

Experience

Employer 1

Employer

Address

Street Address Address Line 2 City State ZIP Code

Starting Salary

Ending Salary

Kind of Business

Supervisor

Job Title

Reason for Leaving

Dates Employed From

Dates Employed To

For Job Reference, call

Please do not contact this employer

Why Not?

Employer 2

Employer

Address

Street Address Address Line 2 City State ZIP Code

Starting Salary

Ending Salary

Kind of Business

Supervisor

Job Title

Reason for Leaving

Dates Employed From

Dates Employed To

For Job Reference, call

Please do not contact this employer

Why Not?

Employer 3

Employer

Address

Street Address Address Line 2 City State ZIP Code

Starting Salary

Ending Salary

Kind of Business

Supervisor

Job Title

Reason for Leaving

Dates Employed From

Dates Employed To

For Job Reference, call

Please do not contact this employer

Why Not?

In the following space, please describe briefly why you are applying for this position:

Conditions of Employment

To Applicant: Read this information carefully and sign below
"Hilton Kennedy Company, LLC does not discriminate on the basis of race, color, religion, sex, national origin, citizenship, age, marital status, or disability"

The facts as stated on this application are true and correct. I understand that, if employed, false statements on this application may cause my immediate dismissal
I authorize such background and personal reports as deemed necessary to verify that the information I have supplied is true and accurate and to determine my fitness for this job. A copy of this authorization is as valid as the original.
I understand that I may be required to work overtime as a condition of being employed here.
In consideration of my employment, I agree to conform to the rules and regulations for employees. I understand that my employment and compensation can be terminated with or without cause, at any time, at the option of either this company or me. I understand that no representative of this company has any authority to enter into any verbal agreement for employment for any specified period of time or to make any agreement contrary to the foregoing.
I understand that I may be required to submit to a pre-employment and post-employment test for fitness, honesty, and / or substance abuse if not prohibited by law.
Upon separation of employment, I authorize this company to withhold from my final pay check any monies owed to them by me.

Date*

Signature*

Authorization For Criminal Record Check

I am being considered for employment. I authorize the employer representative to conduct a criminal record check. My signature below is a request to any local, state, or federal law enforcement agency to release whatever information is requested by the employer representative.

Sign Here*

Date*

Authorization For Financial Record Check

I understand that as a routine part of the selection process the employer may make an inquiry of a credit bureau to determine if I have a financial disability

Sign Here*

Date*

Authorization For Employment Reference Check

Please list below two business references who can attest to your skills, knowledge, and experience, that will contribute to your success in the position for which you are applying.

Reference 1

Name

Email

Phone

Occupation

Reference 2

Name

Email

Phone

Occupation

CAPTCHA

Application for Employment

Personal

Education

Military

General Employment Information

Experience

Employer 1

Employer 2

Employer 3

Conditions of Employment

Authorization For Criminal Record Check

Authorization For Financial Record Check

Authorization For Employment Reference Check

Reference 1

Reference 2