Careers - Roland Slate Service Co., Inc.

GENERAL INFORMATION

Name(Required)

First Name Middle Name Last Name

Phone(Required)

Email(Required)

Date Of Birth(Required)

SSN(Required)

Address(Required)

Street Address City State ZIP Code

U.S. Citizen?(Required)

Yes

No

Do you have reliable transportation?(Required)

Yes

No

Available Start Date(Required)

Upload Resume

Max. file size: 100 MB.

WORK EXPERIENCE

List your most recent employers for the last 3 years:

Company Name

Salary ($)

Start Date

End Date

Company Address

Supervisor's Name

Phone Number

Describe Your Duties

Add Company 2

Company 2

Company Name

Salary ($)

Start Date

End Date

Company Address

Supervisor's Name

Phone Number

Describe Your Duties

Add Company 3

Company 3

Company Name

Salary ($)

Start Date

End Date

Company Address

Supervisor's Name

Phone Number

Describe Your Duties

EDUCATION

Highest Level of Education Completed(Required)

Last School You Attended(Required)

Start Date(Required)

End Date(Required)

Address(Required)

City, State, ZIP(Required)

BACKGROUND INFORMATION

During the last 5 years, were you fired from any job for any reason?(Required)

Yes

No

Have you ever been convicted of any felony violation?(Required)

Yes

No

Generally, a felony is defined as any violation of law punishable by imprisonment of longer than one year, except for violations called misdemeanors under State law which are punishable by imprisonment of two years or less.

Are you under any charges for any violation of law?(Required)

Yes

No

During the last 10 years, have you received any Worker's Compensation benefits?(Required)

Yes

No

You answered "Yes" to one or more of the above questions: Please briefly explain your answer.(Required)

I certify that to the best of my knowledge and belief, all of the information on or attached to this application is true, correct, complete and made in good faith. I understand that the false or fraudulent information or attached to this application may be grounds for not hiring me or for firing me after I begin work, and may be punishable by fine or imprisonment. I understand that any information I give may be investigated.

Signature(Required)

Date Signed(Required)

REFERENCES

*Please list no less than 3 references with up to date contact information. We will not consider employment without checking references.

Applicant Name(Required)

Date(Required)

Reference 1

Name(Required)

First Name Last Name

Company(Required)

Position(Required)

Relationship To You(Required)

Address(Required)

Phone(Required)

Email(Required)

Reference 2

Name(Required)

First Name Last Name

Company(Required)

Position(Required)

Relationship To You(Required)

Address(Required)

Phone(Required)

Email(Required)

Reference 3

Name(Required)

First Name Last Name

Company(Required)

Position(Required)

Relationship To You(Required)

Address(Required)

Phone(Required)

Email(Required)

Add Reference 4

Reference 4

Name(Required)

First Name Last Name

Company(Required)

Position(Required)

Relationship To You(Required)

Address(Required)

Phone(Required)

Email(Required)

Add Reference 5

Reference 5

Name(Required)

First Name Last Name

Company(Required)

Position(Required)

Relationship To You(Required)

Address(Required)

Phone(Required)

Email(Required)

Join Our Growing Team!

GENERAL INFORMATION

WORK EXPERIENCE

Company 2

Company 3

EDUCATION

BACKGROUND INFORMATION

REFERENCES

Reference 1

Reference 2

Reference 3

Reference 4

Reference 5

Questions?