Employment Application

If you are interested in applying to become part of the Wall Construction, LLC team, you can:

  • download an Employment Application in Word and fax to 434-929-0367, or mail to Wall Construction, LLC, 161 Dillard Rd. Madison Heights, VA 24572, or
  • complete and submit the form below.

Wall Construction, LLC Employment Application

Position You Are
Applying For:
First Name:
Last Name:
Middle Name:
E-mail address:
Home Phone:
Cell Phone:
Are You Available
To Work Full Time?
Are You Available
To Work Overtime?
Are You Currently Employed?
If so, May we contact you at work?
Have you been convicted of a felony in the last ten years? (A poitive response will not necessarily eliminate you from consideration – Please Explain);
Are You 18 Years Old or Older?
Are You Eligible For Employment In the United States?
Please Provide a Name and Phone Number of at least two people we can contact in case of emergency?
Highest Grade Completed In High School:
Did you attend a vocational school? If so, please provide information on the type of school and how much you completed:
Did You Attend college? If So Please Provide Info and How much completed:
Plaese List any certificates, licenses or special skills you have or trade associations to which you belong:
Please List Your Current or most recent employer, position, salary, supervisor, reason for leaving and phone number:
Please List Another employer, position, salary, supervisor, reason for leaving and phone number:
Please List any job related skills you may have and years of experience:
Please List any additional iformation you may feel is pertinent to our consideration of your application:
Please initial that all of the information submitted in this application is true.


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