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Contact Info

First Name
Middile Name Initial
Last Name
Street Address
Zip Code
Phone Number
Alternate Phone
Email Address
Confirm Email Address

General Info
Are you 18 yers of age or older?
Do you have a work car?
Do you use your own tools?
Do you have a valid california drivers license?
Have you legal right to work in US?
Are you willing to wrok part time?
How many years of experiance do you have?
Any other info you like us to know?

work experiance
What position are you applying for?

If Instaler please continue below

Do you install cerimic tile?
Do you install carpet and carpet tile?
Do you install resilient flooring?
Do you install polish concrete?
Do you have other instalation experience; please explain below
This section only for licensed contractors
What is your businesss name
What is your license number
What type of license your bussiness level
Are you a licensed contractor?
Do you have employees?
Do you have commercial general liability insurence?
Do you have workers compensation insurence?