Job Opportunities

Note: We comply with the ADA and will consider suggested reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Please discuss with your interviewer or Human Resources.
Some of our positions require that an applicant pass a post offer and pre-employment medical exam that may also include a drug screen and/or physical agility test, please discuss any concerns you have about this testing with the interviewer.

• Only after a conditional job offer will we ask about your criminal history

Employment History

(Complete even if a resume has been provided, starting with current or most recent job going back 10 years, attach additional pages as needed)

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Education

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Reference: List three persons (not relatives) who have knowledge of your work performance and character.

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Please Read Carefully. Initial Each Paragraph and Sign Below

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Release Authorization:

I hereby authorize JB Wholesale Roofing & Building Supplies, Inc. (JB) to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references and former employers I have listed to disclose to JB any and all letters, reports and other information related to my education and work record, without giving me prior notice of such disclosure. In addition, I hereby release JB, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

Note: A copy of this release is as valid as the original.

Applicants for Commercial Driver:

I, ________(Signature below)__________ hereby provide consent to JB Wholesale Roofing & Building Supplies, Inc. (JB) to conduct a limited

query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse.

I understand that if the limited query conducted by JB indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information to JB without first obtaining additional specific consent from me. I further understand that if I refuse to provide consent for JB to conduct a limited query of the Clearinghouse, JB must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations.

Driver’s License Number ___________________________ State Issued _____________
(all content is keep personal and confidential)

Note: A copy of this release is as valid as the original.

To assist us in verifying youremployment/education please list any other names that you have used foremployment or education.