Cotterman Job Application

Cotterman and Company, Inc. is an equal opportunity employer.

In compliance with the Federal and State Equal Employment Opportunity Laws, qualified applicants are considered for all positions without regard to Race, Religion, Sex, National Origin, Age, Marital Status, Disability or other Protected Category.

Download a printable (pdf) application here if you prefer.

1 Begin 2 Employment History 3 Personal References 4 Finalization

Position Sought:

How did you learn about the position?

Today's Date

Month

Day

Year

Personal Background

Name

Address:

City:

State:

Home Phone:

Other Phone:

Email:

Are you 18 years of age?:

Do you have a valid driver's license?

Do you have a valid CDL?

Would you accept full-time work?

Would you accept part-time work?

On what date would you be available for work?

Month

Day

Year

Desired Wage/Salary:

Are you a U.S. citizen or are you otherwise authorized to work in the U.S. without any restrictions?:

If selected for employment, are you willing to submit to a pre-employment drug screening test?:

Our work is physically demanding. Do you have the physical ability to do roofing work?:

Have you ever been employed by us before?:

If yes, please give approximate dates of prior employment:

Have you been convicted of a felony or dishonorably discharged from the Armed Forces of the United States?:

If yes, it will not automatically exclude you from consideration. If yes, please describe the circumstances:

Have you ever been involuntarily terminated or asked to resign from any position of employment?:

If yes, please describe circumstances:

Educational Background

Please choose the highest level completed in each category and list the school attended.

Grammar School

Highest Level Completed:

School Name:

High School

Highest Level Completed:

School Name:

College

Highest Level Completed:

School Name:

Other training, certifications, or licenses held:

List other information pertinent to the employment you are seeking:

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