Send to:
Parker Carpet
PO Box 2202 Vineyard Haven MA, 02568
jon@parkercarpet.com
Employment Application
Contact Us Showroom: 22 Merchants Court Vineyard Haven MA, 02558
508-693-7405 Remnant & Carpet Workroom: 11 North Line Road Edgartown MA, 02539
info@parkercarpet.com
Name:
Last_____________________ First____________________ Middle________________
Present address __________________________________________________________________________________________________________________________
Telephone ( ) -
are you 18 years of age _____________________
Position applied for (1) ________________________ and salary desired (2) ________________________ (Be specific)
How many hours can you work weekly? _________________________
Employment desired __ FULL-TIME ONLY __ PART-TIME ONLY __ FULL- OR PART-TIME
When available for work?_______________
HAVE YOU EVER BEEN CONVICTED OF A CRIME? __ No __ Yes
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
DO YOU HAVE A DRIVER’S LICENSE? __ Yes __ No
What is your means of transportation to work? _______________________________________________________________
Driver’s license
number ____________________________ State of issue _______
Expiration date ______________________
Have you had any accidents during the past three years?_____________
Have you had any moving violations during the past three years?____________
__ Operator __ Commercial (CDL)
How many? ___________________ How Many? ___________________
previous employers.
Position____________________________ Company _____________________________________ Address ______________________________________
Telephone_____________________________________
Position_____________________________Company_______________________________________Address ___________________________________________
Telephone _____________________________________
Education:
High School______________________________
College_______________________
Trade School_______________________