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Monday – Friday 8 AM – 5 PM

Nitro Roofing & Construction

Residential and Commercial Contracting and Roofing

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Applicant Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Date Available to Start*
Date Format: MM slash DD slash YYYY
Desired Salary*
Position You're Applying For*
Are you a citizen of the United States?*
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Are you authorized to work in the United States?*
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Have you ever worked for this company?*
- Yes
- No
If Yes, when?
Have you ever been convicted of a felony?*
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If yes, explain:

Education
High School:
Address:
Years Attended
Did you graduate?
- Yes
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Diploma
College:
Address:
Years Attended
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Degree
Other:
Address:
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Did you graduate?
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Degree

References

Please list three professional references.
Full Name*
Relationship*
Company*
Phone*
Address*
Full Name*
Relationship*
Company*
Phone*
Address*
Full Name
Relationship
Company
Phone
Address

Military Service
Branch:
Dates of Service
Rank at Discharge
Type of Discharge
If other than honorable, explain:

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to my employment, I understand that false or misleading information in my application or interview ay result in my release.*
- I understand
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EEO Policy
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Phone:
New Bremen Office - (419) 629-3624
Columbus Office - (614) 601-1898
Address:
New Bremen Office -
112 N. Main Street
New Bremen, OH 45869

Columbus Office -
4040 Fisher Rd
Columbus, OH 43228
We are open:
Mon - Fri: 8 AM - 5 PM

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