Careers

JOB APPLICATION FORM REQUEST

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PERSONAL INFORMATION

Full Name:

Current Address:

Address1

Address 2

City

State

Zip

Phone #:

E-mail:

Do you have a drivers license?

If Yes, Drivers License # & State Of Issuance:

If yes, have you been involved in any moving violations or vehicle accidents in the past 3 years?

If you do not have a drivers license, do you have a state issued ID?

Please indicate which language(s) you are Fluent in:

English

Spanish

Other

Availability to start:

Are you 18 years or older?

Are you a U.S. Citizen, permanent resident or foreign national with authorization to work in the United States?

Have you been convicted of, or pleaded guilty or no contest to a crime (other than a minor traffic offense) within the last 5 years?

If yes, please explain:

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LAST 2 EMPLOYER’S INFO

(1) Company Name:

Company phone number:

Supervisor Name:

City/State:

Salary/ Money per hour:

How long were you employed here?

Reason for leaving:

(2) Company Name:

Company phone number:

Supervisor Name:

City/State:

Salary/ Money per hour:

How long were you employed here?

Reason for leaving:

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IF APPLYING TO BE A ROOFER PLEASE PROVIDE YOUR EXPERIENCE BELOW:

Shingle roofs: (in year(s))

Flat roofs:(in year(s))

Sheet metal:(in year(s))

Please list any other skills and qualifications that you believe make you a Competitive candidate for this position:

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IF APPLYING TO BE A LABORER PLEASE ANSWER THE FOLLOWING:

Are you afraid of heights?

Are you interested in learning to become a roofer?

If you have a license, are you willing to drive a pick-up truck with an attached trailer?

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APPLICANT’S REPRESENTATIONS: By signing below, you agree to the following:

I certify that the information provided by me is true and complete. I understand that if any information listed in this application shall become inaccurate, incomplete, or outdated

while this application is pending consideration, I will promptly notify LICITRA ROOFING in writing of any necessary change to the information provided in this application. I

information provided in this application is grounds for not hiring me or for terminating my employment at any point in the future if I am hired. I understand that LICITRA ROOFING may

that LICITRA ROOFING may contact my previous employers to verify information provided in this application and I hereby authorize LICITRA ROOFING to do so. I further understand

that LICITRA ROOFING may conduct criminal background checks and searches of my driving history to verify information provided in this application and I authorize LICITRA ROOFING

to do so. I will cooperate with LICITRA ROOFING with respect to conducting any such search and will provide supplemental information as needed. I understand that LICITRA ROOFING

I certify that the information provided by me is true and complete. I understand that if any information listed in this application shall become inaccurate, incomplete, or outdated while this application is pending consideration, I will promptly noti

PRINTED NAME:

SIGNATURE:

DATE:

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*Important* Please bring the following to the interview - your Driver’s License or State ID and Your Social Security Card.

Submit

Brookfield

Burr Ridge

Bolingbrook

Clarendon Hills

Countryside

Darien

Downers Grove

Elmhurst

Forest Park

Hinsdale

Hillside

Indian Head Park

LaGrange

LaGrange Park

Lyons

Naperville

North Riverside

Oak Lawn

Oak Park

Oak Brook

Riverside

Westchester

Willowbrook

Western Springs

Willow Springs

Westmont

Woodridge

AND BEYOND

(Lecitra)

JOB APPLICATION FORM REQUEST

License No.

104. 003376

105. 001338
Phone: 708-485-4848
Fax: 708-485-4860
Email: Sales@licitraroofing.com
Address: 9512 47th Street Suite 1
Brookfield IL 60513

(Lecitra)

Careers

JOB APPLICATION FORM REQUEST

License No.

104. 003376

105. 001338Phone: 708-485-4848Fax: 708-485-4860Email: Sales@licitraroofing.comAddress: 9512 47th Street Suite 1Brookfield IL 60513

105. 001338
Phone: 708-485-4848
Fax: 708-485-4860
Email: Sales@licitraroofing.com
Address: 9512 47th Street Suite 1
Brookfield IL 60513