Employee Application


1) Personal Information

First Name* Last Name* Phone*
Address* City* Zip Code* State
Your Email*

2) Employement Information

How did you hear about us? Position(s) Applied for?
Other:
What is the best time to call you? Best number to reach you?
Are you legally eligible for employment in this country? Date available to work?
Have you submitted an application here before? Have you ever been employed here before?
If yes, when?
What is your desired salary range or hourly rate of pay?
Do you have any issues with working overtime?
If yes, please explain:
Do you have any issues with driving/traveling to work sites?
If yes, please explain:
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?

The following questions are not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.

Have you ever pleaded "guilty" or "no contest" to, or ever been convicted of a misdemeanor or felony?
If yes, please provide date(s) and details:
Have you ever been arrested for any matters for which you are out on bail or on your own recognizance pending trial?
If yes, please provide date(s) and details:
Have you entered into an agreement with any former employer or other party (such as a non-competition agreement) that might, in any way, restrict your ability to work for our company?
If yes, please explain:

3) Job History (Starting with your most recent employer)

Employer #1

Employer Name Supervisor Telephone
Address
Job Title Job Duties
Start Date End Date
Starting Pay Ending Pay

May we contact this employer for a reference

Why did you leave?

What did you like most about this position

What did you like least about this position

Employer #2

Employer Name Supervisor Telephone
Address
Job Title Job Duties
Start Date End Date
Starting Pay Ending Pay

May we contact this employer for a reference

Why did you leave?

What did you like most about this position

What did you like least about this position

4) Educational Background

School #1

Name of school Years Completed Major/Minor GPA
Diploma GED Degree Other 

School #1

Name of school Years Completed Major/Minor GPA
Diploma GED Degree Other 

5) References

List name and telephone numbers of three business/work references who are not related to your and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Name Phone Relationship
Name Phone Relationship
Name Phone Relationship

6) Experience (Please select your skill level)

Stucco Repair   Drywall repair and Texture   Spray Experience   Mixing Custom Colors
     
What else can you do besides painting? Please check all that apply.
Staining Lacquer Faux Finish Wallpaper Other 
Do you have your own tools? Do you have reliable transportation?

What do you like most about painting?

What do you like least about painting?

What is your strongest skill?

What do you want to learn more about painting?

If we were to ask 3 people about you, what would they say?

What do you like to do when you are not painting?

Agreement

"I certify that all information I have provided in order to apply for and secure work with the employer is true, complete, and correct.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from
all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise
verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking , gathering, and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations, or organizations for furnishing such information about me.
I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose
of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state, or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still
wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves
the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This
application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor
or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to
the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof or identity and legal authorization to work in the United States
and that federal immigration laws require me to complete an I-9 Form in this regard.

This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose
of limiting or excluding an applicant from consideration for employment not he basis of his or her sex, race, color, religion, national origin,
citizenship, age, disability, or any other protected status under applicable federal, state, or local law. This Company likewise does not tolerate
harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status. Examples of prohibited
harassment include, but are not limited to, unwelcome physical contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults,
name-calling, negative stereotyping, possession or display of derogatory pictures or other graphic materials, and any other words or conduct that
demean, stigmatize, intimidate, or single out a person because of his/her membership in a protected category. Harassment of our employees is strictly
prohibited, whether it is committed by a manager, coworker, subordinate, or non-employee (such as a vendor or customer). The Company takes all
complaints of harassment seriously and all complaints will be investigated promptly and thoroughly.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be
sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the
employer's service, whenever it is discovered."

 I have read and agree to the above statment.