If you would like to apply online for an employment opportunity at one of the many Weber Carpet locations, please fill out the following form.

Weber Carpet is an equal opportunity employer.

 

First Name:
Last Name:
Middle Initial:
Address 1:
Address 2:
City:
State:
ZIP:
Social Security #:	XXX-XX-XXXX (Optional)
Telephone:	XXX-XXX-XXXX
Citizen of the U.S.?	--- Yes No
If "no", are you authorized to work in the United States? (ie: Greencard/Work Visa) --- Yes No
Expiration Date:
Date of Birth:
Any foreign languages? Please note your ability to speak/read/write each:

Position you wish to apply for: (select one) --	Sales Decorating Consultant Clerical/Office Installation Warehouse
Location Desired:
Available Date:
Salary Desired:
Current Employer:
May we contact your current employer? --- Yes No

Name & Location of School:

Years Attended: --- N/A 1 2 3 4 5 6 7 8

Did you graduate? --- Yes No

Subjects:

Name & Location of School:

Years Attended: -- N/A 1 2 3 4 5 6 7 8

Did you graduate? --- Yes No

Subjects:

Name & Location of School:

Years Attended: -- N/A 1 2 3 4 5 6 7 8

Did you graduate? --- Yes No

Subjects:

Name & Location of School:

Years Attended: -- N/A 1 2 3 4 5 6 7 8

Did you graduate? --- Yes No

Subjects:

Subjects or Special Study or Research Work:

Presently in National Guard or Reserves? --- Yes No

US Military Service:

US Military Rank:

Please list last four employers, starting with most recent.

Name & Address of Employer:
Period of Employment:
From: To:
Salary:
Position:
Reason for Leaving:

Name & Address of Employer:
Period of Employment:
From: To:
Salary:
Position:
Reason for Leaving:

Name & Address of Employer:
Period of Employment:
From: To:
Salary:
Position:
Reason for Leaving:

Name & Address of Employer:
Period of Employment:
From: To:
Salary:
Position:
Reason for Leaving:

Give the names and contact info of 3 people not related to you.

Name:
Address:
Business:
Years Known:
Telephone #:

Name:
Address:
Business:
Years Known:
Telephone #:

Name:
Address:
Business:
Years Known:
Telephone #:

Do you have any physical limitations that preclude you from performing certain work -- if so, please describe:

Name:
Telephone:
Relationship:

"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE, AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES 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 ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU. I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITIVE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PRIOR NOTICE."