Employment

Please fill out the form below without leaving anything blank. Relocation applicants are also welcome.

* First Name

Middle Name

* Last Name

* Street Address

* City

* State

* Zip Code

* Primary Phone Number

* Alternate Phone Number

* Email

* Are you currently authorized to work in the United States?

* Position Applying For:

Painter

Prep/Helper

Touch-Up

Supervisor

Referred By

* Are you currently employed?

* May we contact your employer?

* When are you available to start work?

* Wage Desired

* Do you have your own tools?

* Do you have a valid Drivers License?

* Do you have reliable transportation to and from work?

Name of High School

High School Address

Year Completed High School

Name of College

College Address

Year Completed College

College Major and Degree

Name of Business/Trade School

Business/Trade School Address

Year Completed Business/Trade School

Business/Trade School Major and Degree

* Safety Training

OSHA 10

OSHA 30

Other Training

Former or Current Employer Name (A)

Address (A)

Dates Employed (A)

Salary (A)

Position (A)

Reason for Leaving (A)

Former or Current Employer Name (B)

Address (B)

Dates Employed (B)

Salary (B)

Position (B)

Reason for Leaving (B)

Former or Current Employer Name (C)

Address (C)

Dates Employed (C)

Salary (C)

Position (C)

Reason for Leaving (C)

* Type the numbers.

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