American Carpet One Employment Application
Name (Last, first, Middle) *
Your answer
Email Address *
Your answer
Address *
Your answer
Mailing Address (if different from above)
Your answer
Phone # *
(include cell and work phones if applicable)
Your answer
Person to contact if we are unable to reach you
Your answer
Have you ever been employed by this company before? *
If yes, when?
Your answer
Have you ever applied to this company before? *
If yes, when did you apply?
Your answer
Do you know anyone presently working for this company? *
If yes, who do you know?
Your answer
Were you referred to this company by anyone? *
If yes, who referred you?
Your answer
Position Desired: *
Your answer
Able to work full time? *
Salary Desired
Your answer
Date you can start: *
MM
/
DD
/
YYYY
Days and hours you can work *
(check all that apply)
Required
Schooling Info *
List the name(s) and address(es) of your high school(s)
Your answer
Did you graduate from High School? *
List the name(s) and address(es) of your college(s)
Your answer
Did you graduate from College? *
Degree(s) earned:
Your answer
Name(s) and addresse(s) of other (technical, trade, etc.) school attended:
Your answer
Did you graduate from Trade School? *
Certifications earned:
Your answer
List any skills/qualifications applicable to the position applying for:
Your answer
References - List up to 3
(Indicate name, address, phone, occupation and years acquainted - not relatives)
Your answer
Work History *
Beginning here, list your last 3 employers, beginning with your current or most recent. If never employed, type "none."
Your answer
Workplace #1 adrress and phone *
Your answer
Workplace #1 business type: *
Your answer
Supervisor's name and phone number - workplace #1 *
Your answer
May we contact employer/supervisor #1? *
Workplace #1 duties and your salary *
Your answer
Dates employed from and to - workplace #1 *
Your answer
Reason for leaving - workplace #1 *
Your answer
2nd Employer
Your answer
Workplace #2 address and phone
Your answer
Workplace #2 business type:
Your answer
Supervisor's name and phone number - workplace #2 *
Your answer
May we contact employer/supervisor #2? *
Workplace #2 duties and your salary *
Your answer
Dates employed from and to - workplace #2 *
Your answer
Reason for leaving - workplace #2 *
Your answer
3rd Employer
Your answer
Workplace #3 address and phone
Your answer
Workplace #3 business type:
Your answer
Supervisor's name and phone number - workplace #3 *
Your answer
May we contact employer/supervisor #3? *
Workplace #3 duties and your salary *
Your answer
Dates employed from and to - workplace #3 *
Your answer
Reason for leaving - workplace #3 *
Your answer
How did you learn that American Carpet One was hiring? *
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