Online Application for Employment

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING
THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND
DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING
THIS STAEMENT, PLEASE ASK THEM BEFORE SIGNING.
I certify that all answers and statements I have made on this application (and resume or other
supplementary materials) are true and complete without omissions. By signing below, I
authorize Roofers Mart Inc. to investigate all statements contained in this employment
application as they may deem necessary in arriving at an employment decision. I understand that
any false information provided by me will likely result in a refusal to hire or immediate
discharge if I am employed. I authorize any of the persons or organizations named in this
application to give you complete information and records regarding my employment, education,
character and qualifications.
If hired I will be responsible for familiarizing myself with all rules and regulations of Roofers
Mart Inc. as they presently exist or are later modified. If hired, I understand my employment can
be terminated, at the discretion of Roofers Mart Inc. or at my option, without notice, at any time
and for any reason.

I understand this application is not an offer of employment and no promises or representations of
employment have made to me at this time.

This company is an equal employment opportunity employer. All applicants will be considered without regard to
age, race, national origin, religion, gender, physical or mental disability, or other protected classifications in
accordance with applicable federal and state equal employment opportunity laws. This company will strive to
accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential
functions of the job.

The Fair Credit Reporting Act (FCRA) provides individuals with certain rights regarding
consumer reports, and places certain obligations on employers who use consumer reports for
employment related purposes. Consistent with the requirements of the FCRA, this notice is
provided to you in order to inform you that Roofers Mart Inc. may, for employment-related
purposes (e.g., evaluating your for initial employment, promotions, transfers, assigned duties,
retention as an employee, etc.), obtain from a consumer reporting agency one or more consumer
reports containing financial information, criminal record information, driving record information,
and/or other relevant information about you. Roofers Mart Inc. will not obtain a consumer report
without your signature below, authorizing us to obtain one or more consumer reports.

I hereby acknowledge that I have read and understand the contents of the above notice and, by
signing below, specifically authorize Roofers Mart Inc. to obtain one or more consumer reports
on me for employment-related purposes, as indicated above.