Carolina Floors Employment Application

Carolina Floors, Inc. is always looking for talented concrete finishers. Please fill out the application below to apply.

Personal Information
First Name:
Middle Name:
Last Name:
Green Card No:
Phone No:
Present Address:
City:
State:
Zip:
Mailing Address:
City:
State:
Zip:
Employment History May we contact your current employer?
Company Name and Address:
City:
State:
Zip:
Phone No:
To:
From:
Position:
Salary:
Reason for Leaving:
Company Name and Address:
City:
State:
Zip:
Phone No:
To:
From:
Position:
Salary:
Reason for Leaving:
High School Name and Address:
Did you graduate:
Degree of Diploma:
College Name and Address:
Did you graduate:
Degree of Diploma:
Tech School Name and Address:
Did you graduate:
Degree of Diploma:

General Info:
Number of Dependents:
Are you a US citizen:	YES NO
Do you speak a language other than English:	YES NO Specify:
Can you work overtime and weekends:	YES NO if yes explain below
Have you or are you currently using any illegal drug or alcohol:	YES NO if yes explain below
Have you ever been convicted of a crime:	YES NO if yes explain below
Are you currently on probation or parole:	YES NO if yes explain below
Do you have a valid drivers license:	YES NO License #:
Have you had your license suspended or revoked in the last 5 years:	YES NO if yes explain below
do you have any other special licenses or abilities:	YES NO if yes explain below
Explain:
Special Licenses or Certifications: (List):

Personal Information