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Employment Application

1. Applicant Information

Full Name *

Date of Birth *

Address *

City *

State *

ZIP *

Phone Number *

Email Address *

Position Applying For *

Spray Foam Technician

Roofing Laborer

Foreman

Estimator

Other:

Date Available to Start *

Desired Pay (per hour) *

2. Work Eligibility

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

Yes

Do you have a valid driver's license? *

Yes

Do you have reliable transportation to job sites? *

Yes

Are you willing to travel for out-of-town jobs? *

Yes

3. Experience & Skills

Have you worked in roofing before? *

Yes (Years:)

Have you worked specifically with spray polyurethane foam (SPF)? *

Yes (Years:)

Mark all skills that apply:

Spray foam equipment operation

Foam gun maintenance

Roofing tear-off

Power tools (grinder, drill, saw)

Applying coatings (acrylic, silicone, polyurea)

Ladder & roof safety

Reading job plans

Crew leadership/supervision

Forklift/boom lift certified

Other relevant skills: *

List SPF or roofing certifications (if any): *

4. Work History

Employer #1

Company Name *

Position Held *

Supervisor Name *

Supervisor Phone *

Dates Employed: From *

To *

Reason for Leaving *

5. Physical Requirements

Spray foam roofing involves physically demanding work. Can you meet the following requirements?

Lift 50–75 lbs repetitively: *

Yes

Work in hot or cold weather: *

Yes

Work on roofs up to 40 ft high: *

Yes

Wear full PPE and respirators: *

Yes

6. Safety Record

Have you had any work-related injuries in the past 5 years? *

Yes

Have you ever violated safety policies or been removed from a job for safety reasons? *

Yes

7. References

Reference #1

Name *

Relationship *

Phone *

Years Known *

Reference #2

Name *

Relationship *

Phone *

Years Known *

Reference #3

Name *

Relationship *

Phone *

Years Known *

8. Verification

I verify that the information provided in this application is true and complete to the best of my knowledge. I understand that false information may result in refusal of employment or termination.

Applicant Full Name *

Date *