Application for Employment

NOTE: This application was designed for use with several types of positions. Some questons may not be relevant to the position you are seeking, however, please answer all questions. Resumes are not accepted in lieu of completion of this application.

(Application Valid for 180 days)

Which position are you applying for?

Full Name

Last 4 digits of Social Security Number

Date

Present Address:

City

State

Postal/Zip Code

Phone Number

E-mail Address

Only U.S. Citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment, submit documentation verifying your identity and your legal right to work in the U.S.

Yes No

Have you ever been convicted of any crime?

Yes No

If yes, give dates and explain.

Are you over 18 years of age?

Yes No

Educational Data

School

Number of Years Completed

Degree

Major Course of Study

Print Name, Street Address, City State and Zip code of each School.

Other skills: List any other job-related skills, qualifications, licenses, professional organizations, etc. that support your application or are applicable to the position you are seeking:

List each job you held. Start with your present or last job. Include military experience. If known by any other name, please indicate.

1.

Employer

From

Address:

City

State

Postal/Zip Code

Job Title

Supervisor

Reason for leaving

Salary Start

Salary Final

Work Performed

May we make inquiries of this employer?

Yes No

Employer

From

Address:

City

State

Postal/Zip Code

Job Title

Supervisor

Reason for leaving

Salary Start

Salary Final

Work Performed

May we make inquiries of this employer?

Yes No

Have you ever been dismissed or forced to resign from any employment?

Yes No

If yes, explain.

Are you currently employed?

Yes No

Will you work overtime if asked?

Yes No

What foreign languages do you speak, read or write?

If yes, provide Name and Relationship

Character References

List two (2) persons, NOT RELATED TO YOU, who you have known at least five years:

1.

Full Name

Address:

City

State

Postal/Zip Code

Country

Phone Number

Occupation

Full Name

Address:

City

State

Postal/Zip Code

Country

Phone Number

Occupation

How did you hear of us?

Would you like to upload your resume?

Quick Links

Interior Services

Exterior Services

Contact Us

CARY LOCATION

10030 Green Level Church Rd Suite 802-1083 Cary, NC 27519

HILLSBOROUGH LOCATION

169 Boone Square Street P.O. Box 101 Hillsborough, NC 27278

919-642-3792

[email protected]

Application for Employment

Quick Links

Interior Services

Exterior Services

Contact Us

CARY LOCATION

HILLSBOROUGH LOCATION

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