EMPLOYMENT APPLICATION
Personal Information
Last Name
First Name
M.I.
Street Address
Apartment/Unit#
City
State
ZIP
Phone
Email
How long have you lived at this address?
Previous Street Address
Apartment/Unit#
City
State
ZIP
Valid Driver's License Number
DL State
Does this license qualify you to operate vehicles other than a normal passenger vehicle?
YES
NO
If yes, give details.
Employment Information
Position Desired
Wage Desired
Date Available
Are you currently employed?
YES
NO
Have you ever applied with this company before?
YES
NO
If yes, when?
PREVIOUS EMPLOYMENT
- Please complete the following employment information beginning with the most recent employer.
Previous Employer 1
Company Name
Phone
Address
Position
How Long?
Previous Employer 2
Company Name
Phone
Address
Position
How Long?
Previous Employer 3
Company Name
Phone
Address
Position
How Long?
EDUCATION
High School
Number of Years
Degree Earned
College
Number of Years
Degree Earned
Other
Number of Years
Degree Earned
Have you received any formal training in the painting industry?
YES
NO
If yes, please identify:
GENERAL INFORMATION
Have you ever been convicted of a felony in the last seven (7) years?
(Conviction will not necessarily disqualify an applicant from employment.)
YES
NO
If yes, please detail:
Do you have any physical or emotional limitations that may affect your job performance?
YES
NO
If yes, please explain:
Do you have any limitations getting to and from work?
YES
NO
If yes, please explain:
Do you have your own vehicle and current valid driver’s license?
YES
NO
Please explain why you are qualified for a job with this company.
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.
E-Signature
Date
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Contact Information