Full Name

Address

Cell No

City/ State/ Zip

Do you have a valid driver's license? Do you have a valid driver's license? Yes No

How would you describe your driving record? How would you describe your driving record?Clean (no points, accidents, or suspensions)Good (2 points, no accidents, no suspensions)Fair (4 points, no accidents, no suspensions)Poor (4 points, or at least one accidents, or a suspensions)

Position you are applying for? Position you are applying for? Gutter Service Technician

Do you have a reliable means of transportation? Do you have a reliable means of transportation? Yes No

About how many hours a week are you available to work? About how many hours a week are you available to work?30-40 Hours a week40-50 Hours a week50-65 Hours a week

If hired, what is your earliest available start date?

Are you legally eligible for employment in the United States? Are you legally eligible for employment in the United States? Yes No

Have you ever been convicted of a crime? Have you ever been convicted of a crime? Yes No

If you answered "Yes" to the previous question, please explain the nature of the conviction here.

Are you willing to work from a ladder or from a roof? Are you willing to work from a ladder or from a roof? Yes No

If you have experience in the gutter industry, please describe it below.

Please select your experience level in the gutter industry. Please select your experience level in the gutter industry.Extensive ExperienceSome ExperienceNo Experience

How would you describe your physical fitness? How would you describe your physical fitness?Strong and FitHealthyOther