Employment

Desired Position -- Please Select -- Apprentice PainterExperienced Painter

First Name *

Last Name *

Email Address *

Phone Number *

Home Address *

City *

State *

Zip Code *

Date of Birth *

Are you legally able to be employed in the U.S.? *  Yes  No

Total Hours Available Per Week *

Do you have your own transportation to and from work? *  Yes  No

School Name *

Last Grade Completed *

Graduated? *  Yes  No

Now Enrolled? *  Yes  No

1.

Company Name *

 

Position *

 

Worked From *

 

Worked To

 

Supervisor *

 

Phone *

 

Address *

City *

State *

 

Salary *

 

Reason for Leaving *

2.

Company Name

 

Position

 

Worked From

 

Worked To

 

Supervisor

 

Phone

 

Address

City

State

 

Salary

 

Reason for Leaving

1.

Name *

Address *

Phone *

2.

Name *

Address *

Phone *

3.

Name *

Address *

Phone *

During the past 7 years, have you ever been convicted of or pled guilty to a crime, excluding misdemeanors and traffic violations? (A conviction will not necessarily bar you from employment.) *  Yes  No

If yes, please describe in full. *

What additional relevant experiences or training have you had other than your work experience and education?

Activities—civic, athletic, fraternal, etc. (Exclude organizations which indicate race, religion, color, or national origin of members.)