Carpet Care Consultants: Employment

Employment Application

What abilities do you currently possess that you can offer this team? (Examples: I am hard working, I always show up to work on time, I am a team player, I am willing to learn, etc.)

What expectations do you have of Carpet Care Consultants?

What are some of the challenges you've had to overcome in other places of employment? (Examples: learning to operate new equipment, beat time deadlines, deal with client complaints, etc.)

What steps did you take to overcome these challenges, or deal with them?

What goals do you have for yourself as a result of being a part of a team such as this?

How did you hear about Carpet Care Consultants?

Name *

E-mail: *

Address: *

Phone: *

Social Security Number:

Are you 18 years or older? *

Date you can start *

Are you employed now? *

If yes, may we contact your employer?

List your Education with name of school, years you attended, if you graduated, etc. (if none, write in "none")

Grammar School

High School

College

Trade school, etc.

Any special training or skills?

Former Employer #1

Company Name *

Address *

Start Date-End Date *

Position *

Starting Salary to Ending Salary *

Supervisor Name, Title, Phone Number

May we contact your supervisor? *

Description of work

Reason for leaving

Former Employer #2 (if 5 years not already covered)

Company Name

Address

Start Date-End Date

Position

Start Pay to End Pay

Supervisor Name, Title, Phone Number

May we contact your supervisor?

Description of work:

Reason for leaving

Former Employer #3 (if 5 years not already covered). Enter all info as requested above for previous employment

This Section for Customer Service Reps Only (others can drop to References)

Indicate experience with computer applications, printing, bulk mail, multi-line phones, folding machines, buil mail preparation

Personal Reference #1 (can't be related to you and must have known for at least one year):

Full Name *

Full Address *

Phone Number *

Business *

Years Known *

Personal Reference #2 (can't be related to you and must have known for at least one year):

Full Name *

Full Address *

Phone Number *

Business *

Years Known *

Personal Reference #3 (can't be related to you and must have known for at least one year):

Full Name *

Full Address *

Phone Number *

Business *

Years Known *

Service Record

Branch of Service

Discharge Date

Rank

Were you honorably discharged?

yes no

Have you been convicted of a felony in the last 5 years? *

yes no

If yes, please explain (will not necessarily exclude you from consideration)

Are you able to be bonded

yes no don't know

Authorization

"I certify that the facts contained in this application are true and complete to the best of my ability and knowledge and understand that, if employed, a background check will be obtained, and falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for the employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

Date *

Name as authorized Electronic Signaure *

When you hit "submit", your information will be forwarded to us on a secure server. You may also print and fax this application to (847) 608-0012 or mail to: Carpet Care Consultants, P.O. Box 547, South Elgin, IL 60177

( * Required Field )

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Employment Application

Employment Opportunities