Your FavoritesBuilder Portal (800) 860-4554 Floor Plans Gallery Why Rochester Resources Locations Contact EMPLOYMENT APPLICATION CONTACT US EMPLOYMENT APPLICATION This company is an equal opportunity employer. Discrimination in employment because of race, religion, color, sex, disability, national origin, ancestry, age, service in the Armed Forces of the United States is prohibited by company policy. In addition, company employment policy requires compliance with state and local fair employment practice laws and regulations. Name First Name Initial (optional) Last Name Address Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code How long at present address Phone Email How did you hear about Rochester Homes, Inc.? Referred by Are you 18 years or older? Have you ever been employed with this company? Yes No Have you ever been arrested for, or convicted of a crime that has not been expunged by a court? Yes No Are you seeking Full time or Part time? Full time Part time Date available to start Please use MM/DD/YYYY format Position sought Wage sought Do you have a valid driver's license? Yes No Do you have suitable and reliable transportation to and from work? Yes No Please check all skills you have experience in Read Tape Measure Read Prints Use Nail/Screw guns Use Saws Building Floors Building Walls Painting Vinyl Siding Setting Walls Plumbing Building Ceilings Setting Ceilings Electrical Maintenance/Repair/Welding Cleaning Shingling Install Cabinets Trim & Doors Forklift License Receiving Mud Drywall Ceramic Tile Education HIGH SCHOOL School Name Address Address Line 1 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Years Completed 1 2 3 4 Major Did you Graduate? Yes No COLLEGE School Name Address Address Line 1 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Years Completed 1 2 3 4 Major Did you Graduate? Yes No OTHER School Name Address Address Line 1 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Years Completed 1 2 3 4 Major Did you Graduate? Yes No PREVIOUS WORK EXPERIENCE Please list the most recent experience first - include employers for the past 5 years. Number of jobs 1 2 3 4 5 Past Experience Please list: Company Name, Phone Number, Address, Date Started, Date Left, Supervisors Name & Title, Reason for Leaving, and Wage May we contact the employers listed? Yes No Please list 3 references not related to you, do not live with you, and have known you for at least 3 years. Reference Please list: name, Address, Phone Number, Relationship, and How long known Reference 2 Please list: name, Address, Phone Number, Relationship, and How long known Reference 3 Please list: name, Address, Phone Number, Relationship, and How long known Are you legally eligible to work in the United States? Yes No In case of emergency, person to contact Please list: Name, Address, Phone Number, Place of Employment, Phone, and Relationship I hereby authorize anyone of whom a request is made to the company to disclose any information concerning my background in connection with employment consideration. I hereby release all parties, including but not limited to Rochester Homes, Inc. and my prior employers, from liability for any damage that may result from the furnishing of information concerning me. I certify that the information provided on this application is true, correct, and complete to the best of my knowledge. I understand falsification, misrepresentations, incomplete information, or omission of facts called for on this application or other company records may result in dismissal. I understand and hereby acknowledge that if I am offered and accept employment with the company, my employment is considered at will, is for no definite period of time, and may be terminated with or without cause. I further understand that this application for employment is not a contract of employment. I acknowledge the above paragraph* Yes Powered by Formstack NAVIGATION Home Modular Home Floor Plans Photos Customize Modular Homes Models Blog About Contact Find a Builder Process Advantages Warranty GET IN TOUCH WITH US Use our quick form to connect and we'll reply right away! ROCHESTER HOMES, INC. Physical Address 1345 N. Lucas St, Rochester, IN 46975 Mailing Address P.O. Box 587 Rochester, IN 46975 Phone (800) 860-4554 Email info@rochesterhomesinc.com Social Media @ 2021 Rochester Homes, Inc.SitemapTerms & ConditionsPrivacy PolicyWeb Design by Custom Creatives