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Application
First Name:
*
Last Name:
*
Address:
*
City:
*
State:
*
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
-Terr.-
AS
FM
GU
MI
PR
VI
Zip:
*
Phone Number:
*
Cell Number:
E-mail Address:
*
Best Time to Reach You:
*
Morning
Afternoon
Evening
Night
Position Applying For:
*
Available Start Date:
*
Highest Level of Education:
*
Jr High
High School Diploma
Some College
Bachelors Degree
Graduate / Masters Degree
High School but didnt graduate
If you earned a college degree, please list the major:
Previous Employer #1:
Dates Employed:
Supervisor Name:
Phone:
Job Duties at Previous Employer:
Previous Employer #2:
Dates Employed:
Supervisor Name:
Phone:
Job Duties at Previous Employer:
Additional Information:
What is your age?
*
Gender?
*
Male
Female
Can you pass a drug test?
*
YES
NO
Can you pass a background check?
*
YES
NO
Can you work in a fast paced environment?
*
YES
NO
Are you honest, loyal and always on time?
*
YES
NO
*
Required
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2009 King Carpet Care - Service For A King