Employment Application

Name

Phone

Email

Address

City

State

ZIP Code

Date Available to Work

Desired Salary

Position Applied For

Are you a citizen of the United States?

Yes
No

Are you authorized to work in the United States?

Yes
No

Do you have any experience in the flooring industry?

Are you a High School Graduate?

Yes
No

List High School Name and Address

Is there anything else about yourself that you’d like us to know?

Please list at least 2 references