Armorseal CT: Job Application

Armorseal Job Application

General Information

Name:
Address:
Date of Birth (mm/dd/yyyy):
Telephone No.:
Email:
Type of Position Applying For:
How much do you weigh?
How tall are you?
Are You Willing to Perform All the Services the Company Needs?
Valid CT Driver's License? (*Please Note All Driving Records Are Checked)
Vehicle Accidents in the last 5 years?
Number of Infractions in the last 5 years?
Do you have a DOT Medical Card?
Armorseal has a no smoking policy. Do you smoke?
Are you able to lift a 40 foot ladder?
Are you able to work from a 40 foot ladder?
Do you have reliable transportation to and from work?
Will you need a ride from a friend, spouse, or co-worker?
Are you comfortable walking on a roof?
I can comfortably walk on a roof (check all pitches of roof you are comfortable walking on): 5/12 \| 6/12 \| 7/12 \| 8/12 \| 9/12 \| 10/12 \| 12/12 \| 18/12 \| 24/12
Please list any physical limitations that may interfere with your work:
Please list 3 previous employers, date started, date left and reason for leaving:

Injuries

Question:	(required)	Description:
Have you ever been injured?
Have you ever sustained a back injury?
Have you ever had a "work related injury" involving "workers comp insurance"?
If you answered "yes" to the previous question, how many workers comp claims have you had?

Have you done any of the following types of work?

If you did not do a certain type of work, type "0" in the "years of experience" field.

Type of Work:	Years of Experience (required):	Are you comfortable doing this type of work (required)?	Description:
Driveway Sealing
Gutter Cleaning
Gutter Installation
Power Washing
Snow Plowing
Landscaping & Yard Work
General Carpentry & Repairs
Siding, Roofing, & Ladder Work

Mechanical Aptitude:

Question:	Yes / No (required):	Description:
Do you have experience repairing and maintaining small engines? If yes, please describe.
Do you have experience repairing cars and trucks? If yes, please describe.

Check all that you are familiar with:
Car Repairs
Truck Repairs
Brake Systems
Body Work
Electrical
Steering
Fuel Systems
Gas Engines
Spark Plugs
Diesel Engines
Diesel Glow plugs
Diesel Spark Plugs
Diesel Disributer

Availability

For each day, type in your availability. If you are unavailable, type "unavailable". If you are available anytime, type "available anytime". If you are available during certain hours, type in "available" and when you are available (ex: 7am - 7pm).

Day:	Availability (required):
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:

Are there times during the year when you are not available due to another job, school, family obligations, etc?

I have double checked my answers and submit them as factual:
Please be advised that all employees must be screened for drug use and will be subject to random testing. Please also be advised that a thorough background check is conducted on all employees prior to hiring.

Armoseal provides its services to the following towns in Connecticut (CT):
Simsbury, Avon, Canton, Granby, East Granby, North Granby, Granby, Farmington, Bloomfield, West Hartford, New Hartford, Burlington, Unionville, Tariffville, Weatogue, Torrington, Winsted, Hartland, East Hartland, Suffield, Windsor, and Windsor Locks

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