Royalty Sealants Employment Application "*" indicates required fields Applicant InformationName (Last)*(First)*(Middle Initial)Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Alternate PhoneSocial Security #*Drivers License #*Date of Birth* MM slash DD slash YYYY Position Applying For*Desired Pay Rate $*TERMS AND CONDITIONS OF EMPLOYMENT Employees expected hours of work are from Monday through Friday. However, employees are expected to work Saturday and Sundays when the company workload so demands. Employees may be required, at times, to travel out of town for projects. Employees are, at times, required to work different shifts to accommodate project and company schedules. Overtime as company workload dictates. All employees are subject to a probationary period of 3 months. During this period the employee's PERFORMANCE and ATTENDANCE at work will be monitored. If the employee's standard of performance, attendance or conduct is unsatisfactory during probation the employee may be dismissed during or at the end of the probationary period. INITIAL BELOW ACKNOWLEDGING YOU HAVE READ AND UNDERSTAND TERMS AND CONDITIONS*If hired, can you provide evidence that you are authorized to work in the United States?* Yes No Do you meet the Royalty Sealants criteria for employment?Are you afraid of heights?* Yes No Are you comfortable working with extension ladders?* Yes No Can you lift up to 50 lbs.?* Yes No Do you have a valid AZ drivers license?* Yes No Do you have a clean driving record?* Yes No Do you have reliable transportation?* Yes No Emergency Contact InformationName*Phone #*Relationship*NamePhone #RelationshipEducationHigh SchoolSchool NameCourse of Study# Years AttendedDegree/DiplomaCollegeSchool NameCourse of Study# Years AttendedDegree/DiplomaOtherSchool NameCourse of Study# Years AttendedDegree/DiplomaExperienceI have experience in: Caulking Waterproofing Coatings Relevant Construction Experience Describe your CAULKING work experienceYears of experience in CAULKINGDescribe your WATERPROOFING work experienceYears of experience in WATERPROOFINGDescribe your COATINGS work experienceYears of experience in COATINGSDescribe your relevant construction experience and certifications (including amount of experience)Employment HistoryPrevious Employer #1 (Most Recent)Company NamePhoneAddress Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Position HeldFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingPrevious Employer #2Company NamePhoneAddress Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Position HeldFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingPrevious Employer #3Company NamePhoneAddress Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Position HeldFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingPersonal ReferencesName*Phone*Relationship*NamePhoneRelationshipNamePhoneRelationshipCriminal HistoryHave you ever been convicted of a criminal offense?* Yes No Do you currently have any criminal actions pending in which you are the defendant?* Yes No Are you currently on probation or parole?* Yes No Drug and Alcohol PolicyRoyalty Sealants promotes a drug and alcohol free workplace at all times. Employees are not permitted to be under the influence of/or use any drugs or alcohol during working hours (including lunch, and/or breaks, etc.).Initial*Applicant StatementI certify that this employment application was completed by me and that all of the information is true and correct to the best of my knowledge. I understand that this employment application is not valid without my signature.Signature (Type your full name.)*Date* MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
