Please click on the PDF and fill out the application or print it and hand write it out.
 
 
 
 
Contact Info:
 
 
Are you 18 or older?
 
 
 
D.O.B
 
 
 
S.S.#
 
 
For Tax purposes, a valid Social Security number is required ON THE FIRST DAY OF WORK. If the number cannot be verified by the Social Security Administration, it is grounds for immediate termination.
 
 
Are You a United States Citizen?
 
 
 
Are you an Alien Authorized to work in the United States?
 
 
 
Is your Drivers License under revocation or suspention?
 
 
What types of vehicles or equipment have you driven / operated?
Do you have any special skills applicable to this trade?
Do you have any certifications applicable to this trade?
Have you ever applied to this company before?
 
 
 
When?
 
 
 
 
Were you referred by anyone?
 
 
 
 
Who?
 
 
 
 
Employment History
 
Are you currently employed?
 
 
 
If so may we make an inquiry of your present employer?
 
 
Current Employer (or another previous)
Previous Employment
References
Emergency Contact Info
I Certify that my answers are true and complete to the best of my knowledge. I authorize A.W. Therrien Company to make such investigations and inquiries of my previous employment, and other related matters, as may be necessary for my employment decision. I hereby release any previous employer or persons from all liability in responding to inquiries in connection with my application. I have read and understand the description of the work, tasks and the physical demands required of me to perform the work. I understand and am capable of complying with the demands of this job. In the event that i am employed, I understand that false or misleading information given in my application or interview may result in discharge.
 
Signature:
 
 
 
Date:
 
 
WORK TASKS AND PHYSICAL DEMANDS
REQUIRED TO BE A ROOFER

1. Working at heights and outdoors in various weather conditions ie. direct sunlight, cloud cover, heat, cold, rain, snow.

2. Climbing ladders (6’-52’)

3. Working in man lifts / scissor lifts (42’-120’)

4. Use of powertools (drills, circular saws, sawzalls, hammerdrills, heat guns, etc.)

5. Use of hand tools (hammer, axe, hand rollers, scissors, shovel, brooms, etc.)

6. Physical Demands that include but are not limited to: frequent lifting of objects weighing 50-100 lbs., bending at the waist, kneeling, crawling, squatting, reaching, climbing, standing and walking
 
Signature:
 
 
 
Date:
 
 
 
 
Please click on the PDF and fill out the application or print it and hand write it out.



You may print the application and mail it or physically drop off an application at 199 Hayward St Manchester, NH 03103, or you may E-mail your application to therriencompany@gmail.com.

If you receive a call back to come in to the office for an interview / safety training, please have available at that time:

1.Valid STATE OR FEDERAL ISSUED photo I.D.

AND

Social Security Card or Birth Certificate

OR

2.Passport or Permanent Resident Card



A.W. Therrien Company is an Equal Opportunity Employer.