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Bargen Incorporated

Residential and Commercial Roofing, Home Builder and Pavement Maintenance

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Employment Application

Your Personal Information
Your Name*
First Last
Your Email Address*
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Your Home Address*
Street Address Unit / Suite Number City State Zip Code
Your Phone*
Position You're Applying For
Best Time To Call You*
When is the best time for us to reach you via telephone?
Are you a citizen of the United States?*
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- No
If no, are you authorized to work in the U.S.?
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Have you ever worked for this company?*
- Yes
- No
If so, when?
Education
High School
Address
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Did you graduate?
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Degree
College
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Did you graduate?
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Degree
Other
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Did you graduate?
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Degree
References
Please list three professional references.*
Full Name Relationship Company Phone
2nd professional reference*
Full Name Relationship Company Phone
3rd professional reference*
Full Name Relationship Company Phone
Previous Employment
Please list your previous employers, the dates you worked and the position you held
Company
Phone
Supervisor
Address
Job Title
Starting Salary
Ending Salary
Responsibilities
From Date
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To Date
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Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
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Name of Company
Phone
Supervisor
Address
Job Title
Starting Salary
Ending Salary
Responsibilities
From Date
MM slash DD slash YYYY
To Date
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Company
Phone
Supervisor
Address
Job Title
Starting Salary
Ending Salary
Responsibilities
From Date
MM slash DD slash YYYY
To Date
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Upload Your Resume
Accepted file types: pdf, doc, docx, Max. file size: 100 MB.
upload your resume in .pdf, .doc or .docx format
The Legal Stuff
Terms and Conditions
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Acceptance*
- I agree to the Terms and Conditions
You must agree to the above Terms & Conditions to submit your application.
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Date
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Email
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Bargen Incorporated is committed to excellence and, because of this, we take pride in our professional craftsmen.

Contact Us

Phone:
800-434-2924
Address:
606 County Road 1 Mountain Lake, MN 56159

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