To Be Completed by Office Staff:

           Interview Completed  

Vision Contracting, Inc
Application Form
1519 Pineywood Drive
McAlester, OK 74501 - 7049
Phone/Fax: (918) 426 - 2520
Owner/Operator John Clark: jclark@vciok.com

PERSONAL DATA

 

   Present Adress: Street   City:    State:    Zip Code :

Are you a citizen of the United States?     

Is there any reason why you can not consistently and promptly perform all of the tasks required of this job?

       

EMPLOYMENT

     Name of Employer            Address      DATES: From/To  Briefly List Duties That You  Performed

Briefly Describe Past Experiences or Training That is Directly Related to this Position

   

REFERENCES

            Name          Address      Type of  Business
Phone


Applicant's Signature: _______________________________________      Date: _______________________