Information

Full Name: Carleno Faith N Date: 10/11/17

Last First M.I.
Address: 3381 Kelly Lane
Street Address Apartment/Unit #
Roanoke VA 24018
City State ZIP Code
Phone: (540) 521-7444 E-mail Address: Carlenofaith@gmail.com

Date Available: Social Security No.: 123-45-6789 Desired Salary: $8.00

Position Applied for:

YES NO YES NO
Are you a citizen of the United States? X If no, are you authorized to work in the U.S.?
YES NO
Have you ever worked for this company? X If yes, when?
YES NO
Have you ever been convicted of a felony? X

If yes, explain:

Education
High School: Cave Spring High Address: 3712 Chapperal Dr, Roanoke VA
YES NO
From: 2014 To: 2018 Did you graduate? X Degree:
College:
Riverside Address: 3712 Chapperal Dr, Roanoke VA
YES NO
From: 2018 To: 2020 Did you graduate? X Degree: PTA
316 Main Street
Other: Address: Newport News, VA 23601 United States
YES NO
From: To: Did you graduate? Degree:

References
Please list three professional references.

Full Name: Amber Moore Relationship: Mentor

Company: Jefferson College Phone: (540) 343-9090

Address: Southeast, 101 Elm Ave, Roanoke, VA 24016

Full Name: Stacey Beard Relationship: Mentor

Company: Walgreens Phone: (540) 777-8903

Address: Walgreens, 2351 Franklin Rd SW, Roanoke, VA 24014

Full Name: Susan Smith Relationship: Church

Company: Carilion Hospital Phone: (540) 113-9864

Address: 1906 Belleview Ave SE, Roanoke, VA 24014

Previous Employment
Company: Babysat for family Phone: (540) 897-0000

Address: Roanoke VA Supervisor: Christy Arthur

Job Title: nanny Starting Salary: $15.00 Ending Salary: $

Responsibilities: Help Kids, Clean house

From: 2016 To: Present Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference? X

Company: VoomX Phone: (540) 454-2365

Address: 4118 Franklin Rd SW, Roanoke, VA 24014 Supervisor: Paul Lawor

Job Title: Sales Associate Starting Salary: $7.50 Ending Salary: $9.00

Responsibilities: Helping customers

From: 2015 To: 2016 Reason for Leaving: New opportunities

YES NO
May we contact your previous supervisor for a reference? X

Company: Phone: ()

Address: Supervisor:

Job Title: Starting Salary: $ Ending Salary: $

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

Military Service
Branch: From: To:

Rank at Discharge: Type of Discharge:

If other than honorable, explain:

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.
Faith Carleno
10/11/17