Full Name
Address
City, State, Zip
Home Phone
Cell Phone
Email
How did you hear about us?
Select
Walk-in
Paint Store
Newspaper
Internet
Employee (list)
Other
Position(s) Applied for
What is the best time to call you?
Best number to reach you?
Select
Home Phone
Cell Phone
Are you legally eligible for employment in this country?
Select
Yes
No
Date available to work?
Have you submitted an application here before?
Select
Yes
No
- If yes, when?
Have you ever been employed here before?
Select
Yes
No
- If yes, when?
What is your desired salary range or hourly rate of pay?
Do you have any issues with working overtime?
Select
Yes
No
- If yes, please explain:
Do you have any issues with driving/traveling to work sites?
Select
Yes
No
- 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)?
Select
Yes
No
Not Sure
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?
Select
Yes
No
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?
Select
Yes
No
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?
Select
Yes
No
If yes, please explain:
Job History
Starting with your most recent employer, provide the following information:
Employer #1
Employer #2
Employer #3
Explain any gaps in your employment:
If not addressed on the previously, have you ever been fired or asked to resign from a job?
Select
Yes
No
If yes, please explain:
In your current or in a prior job, have you ever written instructions or directions to be followed by employees or customers?
Select
Yes
No
If yes, please explain:
Is there any other job-related information you want us to know about you?
Educational Background
School #1
School #2
School #3
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.
Experience
Please select your skill level for the following:
Stucco Repair
Select
0 (no skill)
1
2
3
4
5 (best)
Drywall repair and Texture
Select
0 (no skill)
1
2
3
4
5 (best)
Spray Experience
Select
0 (no skill)
1
2
3
4
5 (best)
Mixing Custom Colors
Select
0 (no skill)
1
2
3
4
5 (best)
What else can you do besides painting? Please check all that apply.
Staining
Lacquer
Faux Finish
Wallpaper
Other
Do you have your own tools?
Select
Yes
No
Do you have reliable transportation?
Select
Yes
No
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.
Thank you for your interest in A.Allbright Painting. Once application is received, it will be reviewed.
If interested, we will be in touch within 2 weeks.
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