List recent roofing or construction employers. Include company name, employer phone number, employer address, position, dates worked, supervisor, and reason for leaving.

By submitting this application, I certify that the information provided is true and complete to the best of my knowledge. I authorize Jeff Home Improvements Incorporated to contact previous employers, supervisors, and references, including current and previous employers listed in this application. By signing below, I give Jeff Home Improvements Incorporated permission to perform a pre-employment background check and a pre-employment drug screen. I understand employment may be conditioned upon verification of my legal authorization to work in the United States, a pre-employment drug screen, and a pre-employment background check. I understand applicants must have a valid driver's license and reliable transportation to and from work. Ability to travel is required. I understand this application is not a contract of employment.