Carter Construction of VA.Inc Custom homes on Lake Gaston and Kerr Lake

Carter Construction is always looking to expand our horizons. If you are interested in applying for employment, please fill out the information below, and print it from your browser. Then, you can fax it to us @ (434) 636-4500, or email it to mkcarter@buggs.net.

Full Name:____________________________________ Social Security:______________

Address:_________________________________________________________________

Telephone(Day)_______________________ Telephone(Evening)___________________

Date of Birth:______________ Sex:__________

Are you legally eligible for employment in the United States?______Yes______No

Have you ever been convicted of a criminal offense other than minor traffic violations? If so, please explain._____________________________________________

________________________________________________________________________

Position desired:______________ Salary desired:____________ Start Date:_________

Are you currently employed?______ May we inquire with your present employer?_____

Employment History (Start with Most Recent)

Employer:____________________________ From:________________ To:___________

Telephone:___________________________ Position:____________________________

Salary:___________________________ Reason For Leaving:______________________

Employer:____________________________ From:________________ To:___________

Telephone:___________________________ Position:____________________________

Salary:___________________________ Reason For Leaving:______________________

Employer:____________________________ From:________________ To:___________

Telephone:___________________________ Position:____________________________

Salary:___________________________ Reason For Leaving:______________________

Education

Name of Elementary School:________________________________________________

Address: ________________________________Course of Study:_________________

Years Attended:______________ Grade Completed:_____________________________

Name of Middle School:_____________________________________________________

Address: ________________________________Course of Study:_________________

Years Attended:______________ Grade Completed:_____________________________

Name of High School:______________________________________________________

Address: ________________________________Course of Study:_________________

Years Attended:______________ Grade Completed:_____________________________

Name of College/Technical School:___________________________________________

Address: ________________________________Course of Study:_________________

Years Attended:______________ Grade Completed:_____________________________

References: Please give contact information for 3 persons not related to you whom you have known for more than one year.

Name:_____________________________ Address:______________________________

Telephone:_________________________ Business:_____________________________

Years Acquainted:___________

Name:_____________________________ Address:______________________________

Telephone:_________________________ Business:_____________________________

Years Acquainted:___________

Name:_____________________________ Address:______________________________

Telephone:_________________________ Business:_____________________________

Years Acquainted:___________

Certificate of Applicant (Read Carefully Before Signing)

All information provided by me is true and correct to the best of my knowledge. I understand omissions or misrepresentations may result in rejection of my application, or if employed, may result in subsequent dismissal. I hereby authorize all former employers, educational institutions, personal references and others identified hereon, including their employees or representatives, to furnish or provide full and complete reports, documents, or information to Carter Construction of VA Inc. regarding information I have provided hereon. I understand this is a preliminary application and not a contract to employ me. Furthermore, in the event I am employed, my employment shall be completely voluntary and may be terminated at will at any time either by myself or the company. If employed, I agree to comply with all rules of the company as a condition of continued employment.

Date:_________________________ Signature of Applicant_______________________