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APPLICATION FOR EMPLOYMENT

Adam Vaillancourt Roofing
45 Emerson Road, Milford, NH  03055
603-673-0006

Adam Vaillancourt Roofing is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law.  Should an applicant need a reasonable accommodation in the application process, he or she should contact a company representative.

  • Applicant Information:

  • Employment Position:

  • Personal Information:

  • (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and surrounding circumstances and the relevance of the offense to the position applied for may, however, be considered.)
  • Job Skills/Qualifications:

  • (Note: Adam Vaillancourt Roofing complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)
  • Education:

  • High School or last grade completed:
  • College or Technical School
  • Other Schooling or Training
  • Military Experience

  • Record of Employment:

    List positions starting with most recent:
  • STATEMENT (Please read this statement carefully before submitting this application):

    I understand that employment with Adam Vaillancourt Roofing is at-will, meaning that I or Adam Vaillancourt Roofing may terminate my employment at any time, or for any reason consistent with applicable state or federal law.

    I authorize Adam Vaillancourt Roofing to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Organization, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.

    I understand that Adam Vaillancourt Roofing requires the successful completion of a drug and/or alcohol test as a condition of employment.

    I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.

Call 603-673-0006 now to schedule your evaluation with one of Adam Vaillancourt's trained roofing specialists.