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Employment Application

E. Cornell Malone Corp. and Malone Roofing Services, LLC (hereby known as "Malone") are looking for top notch employees that want to be a part of the Malone Team. If you would like to join our team, then complete this online application so we can learn more about you. Please complete each section, even if you attach a resume.

Full Name

Street Address

Address

City

State

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Zip

Home Phone

Cell Phone

Email Address

Referred By

Are you atleast 18 years of age?

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Are you legally eligible to work in the US?

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Do you have a valid driver's license ?

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If YES, Driver's License #

State of Issuance

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Have you ever been convicted of a felony or misdemeanor?

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If Yes, Please explain( a "Yes" answer will not necessarily bar applicant from employment)

Have you ever been terminated from employment?

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If Yes, Please explain

Do you have any relatives currently working for Malone?

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If Yes. Please explain

United States Military Services

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U.S. Armed Forces Services

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If Yes, Which branch?

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What was your rank at discharge ?

Date of Discharge

Basis of Discharge

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Position

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Production Position Desired

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Administrative Position Desired

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Desired Division

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Desired Office Location

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Desired Pay

Start Date

Are you able to work out of town ?

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Are you able to work overtime or evening hours ?

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Do you have any physical limitations that would prevent you from performing work for which you are being considered ? If Yes, Please explain.

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If Yes, Please explain

Education and Training

Do you have a valid CDL license ?

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Class Type

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Select any of the certifications you may have

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Any additional certifications

Employment History

References

Upload your cover letter, resume, etc...here..

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Drag files here or

Additional Comments

Acknowledgement of a Drug Free Work Environment. Malone cares about the health and well-being environment. Please check the box to acknowledge you understand you will be asked to submit to a drug test if an offer of employment is extended. The company reserves the right to withdraw an offer of employment if you refuse to take the drug test or if the results come back positive for a non-prescribed medication or illicit street drug. I certify that all information I have provided in order to apply for and secure work with Malone is true complete and correct. If any information provided by me is found to be false, incomplete or misrepresented in any respect, it will be sufficient cause to cancel further consideration of this application, or immediately discharge me, whenever it is discovered. I expressly authorize Malone and its agents, without reservation, to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institution

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SUBMIT

Jackson, MS Office

439 Dory Street
Jackson, MS 39201
Phone: (601) 352-5940
Fax: (601) 352-5944
MS LIC.NO.– 05871-MC

Alexandria, LA Office

4106 Lee Street,
Alexandria, LA 71302
Phone: (318)-532-6492
Fax: (318)-532-6492
LA LIC. NO. 17812

Knoxville, TN Office

6214 Enterprise Drive,
Knoxville, TN 37919
Phone: (865)770-4441
Fax: (865)-249-6928
TN LIC. NO. 58848

Hattiesburg, MS Office

#1 Commerce Drive, Suite 200
Hattiesburg, MS 39402
Phone: (601) 336-7008
Fax: (601) 602-4369
MS LIC. NO.– 05871-MC

Baton Rouge, LA Office

9352 South Choctaw
Baton Rouge, LA 70815
Phone: (225) 218-4475
Fax: (225) 388-5415
LA LIC. NO.- 17812

Pensacola, FL Office

2550 N.Palafox Street
Pensacola, FL 32501
Phone: (850) 429-1577
Fax: (850) 429-1578
FL LIC. NO.– CCC39870

Birmingham, AL Office

2621 Queenstown Road,
Birmingham, AL 35210
Phone: (205) 994-8449
Fax: (205) 994-8449
AL LIC. NO.- 41604

Mobile, AL Office

7949 Bullitt Drive,
Mobile, AL 36619
Phone: (251) 308-2135
Fax: (251) 308-2162
AL LIC. NO. 41604