Application Contact InformationFirst Name*MiddleLast*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code List any other names by which you have been known Main / Cell Phone*Alt. Phone NumberDesired Position*Experience InformationHave you previously worked for Bachmans?*Select oneYes - As a direct employeeYes - As a contractorYes - As an Intern/COOPNoIf Yes, please enter the DivisionCurrent SalaryYears of Professional Experience*Select one0-12-34-56-1011-1516-2021+Desired Salary$0 - $20,000$20,001 - $40,000$40,001 - $60,000$60,001 - $80,000$80,001 - $100,000$100,001 - $120,000$120,001 and aboveWork AuthorizationAre You 18 Years of Age or Older?*YesNoIf hired, can you produce evidence that you are a U.S. citizen or Non-Citizen entitled to work in the U.S. for any employer?*YesNoBackground DisclosureFor applicants outside of Pennsylvania, have you even been convicted of a crime? If yes, please explain (A yes answer will not necessarily disqualify you from employment with Bachmans)*YesNoN/AAccident DisclosureHave you ever had any motor vehicle accidents in the past 7 years?*YesNoWhere did you learn about this position?Select OneAftercollegeAgencyAtlanta JobsBaltimore Metro JobsBeyond.com<Boston JobsCareer Fair- specify belowCareerBuilderCareerRookieCollege RecruiterCore IntuitionCraigsListCranes ListCT JobsDC JobsDiceEmployee Referral-Specify BelowExperience.comFacebookFairfield County JobsFoxNews Top 5 companiesGlassdoorHotjobsIndeedInternMatchInternships.comJobs in CTJobs2CareersJobSpeekLinkedInMA Job NetworkMonsterNACElinkNetworkingNew York JobsNewspaperOther-Specify BelowPhiladelphia AIGAPhilly Ad ClubPHRG WebsiteRecruitMilitaryReferral (Non Employee)RubyNowSalesJob.comSHRMSimplyHiredVA Job NetworkVeterans Initiative Online ReferralWalk InWashington PostZipRecruiter(If other please specify)ResumePaste the content of your resume or C.V. in the space below. No formatting will be retained so review your resume or C.V. in Notepad or other ASCII text editor to ensure that the format is readable.*Self Declaration InformationBachmans Roofing, Building & Remodeling is an EQUAL OPPORTUNITY EMPLOYER. To help us comply with government record keeping requirements, we would appreciate your completing this form. You are not required to provide this information. If you choose not to provide the information, your decision will not affect your application for employment. This data will be kept confidential, and only be used in accordance with applicable state and federal laws and regulations.Decline to Declare I opt out of providing this information Gender*MaleFemaleEthnicityWhiteBlackAsian or Pacific IslandAmerican Indian or Alaskan NativeHispanicOtherVeteran StatusNot a VeteranVeteran of the Vietnam EraVeteran of the Post 9/11 EraOther VeteransSpecial Disabled VeteranYesNo (A) Veteran who is entitled to compensation under laws administered by the Department of Veterans Affairs for a disability (1)rated at 30 percent or more (2) rated at 10 to 20 percent in the case of a veteran who has been determined under federal law to have a serious employment handicap, or (B) a person who was discharged or released from active duty because of a service-connected disability. Bachman's Roofing, Building & Remodeling is an Equal Opportunity Employer committed to diversity in our workspace.