SAGE INTERIOR DESIGN

Employment Application

APPLICANT INFORMATION
Last Name

Sperry

Street Address

First

Noah

M.I.

174 Raymond Carter Road

Apartment/Unit #

City

Clarksburg

State

Phone

304-669-7710

E-mail Address

Date Available

Presently

Position Applied for

Date

Social Security No.

ZIP
Noahsperry98@gmail.com

234-23-2345

Desired Salary

open

Security Engineer
YES

NO

If no, are you authorized to work in the U.S.?

Have you ever worked for this company?

YES

NO

If so, when?

Have you ever been convicted of a felony?

YES

NO

If yes, explain

Address

1 Eagle way, Clarksburg WV 26301

YES

NO

Address

N/A

YES

NO

Address

N/A

YES

NO

EDUCATION
Robert C. Byrd High School

From

2013

College

N/A

From

N/A

Other

N/A

From

N/A

N/A

26301

Are you a citizen of the United States?

High School

12/15/2015

To

To

To

2017

N/A

N/A

Did you graduate?

Did you graduate?

Did you graduate?

Degree

General Diploma

Degree

N/A

Degree

N/A

REFERENCES
Please list three professional references.
Full Name

Emily Moore

Relationship

Company

Robert C. Byrd High School

Phone

Address

1 Eagle way, Clarksburg WV 26301

Full Name

Geraldine beckett,

Relationship

Company

Robert C. Byrd High School

Phone

Address

162 Crummit Lane, Clarksburg WV 26301

Full Name

Greg Philips

Relationship

Company

Robert C. Byrd High School

Phone

Address

430 Bakers way, Clarksburg WV 26301

Teacher

304-456-7721

Teacher

304-326-7200

Teacher

304-345-4564

YES

NO

PREVIOUS EMPLOYMENT
Company

Robert C. Byrd High School

Phone

Address

1 Eagle Way, Clarksburg WV 26301

Supervisor

Job Title

Lighting Engineer

Starting Salary

304-234-3523
Emily Moore

$10/hr.

Ending Salary

Responsibilities

Operate a Lighting Board, Operate a Spotlight, and Design lights according to Clients Wishes.

From

To

2013

2017

Reason for Leaving

May we contact your previous supervisor for a reference?

$10/hr.

Still Working
YES

NO

Company

Garden and Lawn maintenance

Phone

Address

342 Pickle way, Pickle WV 23523

Supervisor

Job Title

Yard Caretaker

Starting Salary

304-324-2342
Tinker Sperry

$7.50

Ending Salary

Responsibilities

Mow the Clients lawn, Clear Brush around Clients House, and Trim Trees in hazardous locations.

From

To

2010

2016

Reason for Leaving

May we contact your previous supervisor for a reference?

Still Working
YES

NO

Company

N/A

Phone

Address

N/A

Supervisor

Job Title

N/A

Starting Salary

Responsibilities

N/A

From

To

N/A

N/A

Reason for Leaving

N/A

May we contact your previous supervisor for a reference?

YES

N/A
N/A

$ N/A

Ending Salary

$ N/A

NO

MILITARY SERVICE
Branch

N/A

Rank at Discharge

From
N/A

If other than honorable, explain

N/A

To

Type of Discharge

N/A
N/A

N/A

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Signature

Date

12/15/15