Employment Inquiry Form

First Name*:
Last Name*:
Address*:

City*:
State*:
Zip*:
Daytime Phone #:	- Ext:
Nighttime Phone #:	- Ext:
Email:
Location:	Venice, FL Salisbury, NC Either

Resume Text*:

Please provide complete information concerning your current and
past employment and educational history.

Cover Letter:
(Optional)

Fields of Interest*:
(Check all that apply)

If applying for an open vacancy, please list name of position:
What is your current salary/hourly pay?
What is your expected salary/hourly pay?
Are you at least 18 years old?	Yes No
When will you be able to start employment?
How did you hear about PGT Industries?

I certify the answers given are true and complete to the best of my knowledge. I understand that any misrepresentation, omissions of facts or imcomplete answers in any document that could be considered an employment application or interview will be cause for my dismissal at any time without prior notice. I make this acknowledgement and electronically sign this document by clicking the below submission button.