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Employment Application Form

How did you hear about us? (employee, paint store, internet, etc.)

Position(s) Applied for

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?

  - If yes, when?

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 question(s) 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 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:


Job History

Starting with your most recent employer, provide the following information:

Employer #1
Employer Name
Address
Telephone
Job Title
Supervisor
Job Duties
Start Date
End Date
Why did you leave?
What did you like most about this position?
What did you like least about this position?
May we contact this employer for a reference?
Employer #2
Employer Name
Address
Telephone
Job Title
Supervisor
Job Duties
Start Date
End Date
Why did you leave?
What did you like most about this position?
What did you like least about this position?
May we contact this employer for a reference?
Employer #3
Employer Name
Address
Telephone
Job Title
Supervisor
Job Duties
Start Date
End Date
Why did you leave?
What did you like most about this position?
What did you like least about this position?
May we contact this employer for a reference?

Explain any gaps in your employment:

If not addressed on the previously, have you ever been fired or asked to resign from a job?

If yes, please explain:
If yes, please explain:

Is there any other job-related information you want us to know about you?



Educational Background
School #1
School
Years Completed
Completed

GPA/Class Rank
Major/Minor
School #2
School
Years Completed
Completed

GPA/Class Rank
Major/Minor
School #3
School
Years Completed
Completed
GPA/Class Rank
Major/Minor


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.

Reference #1
Reference #2
Reference #3


Experience

Please select your skill level for the following:

Stucco Repair

Drywall repair and Texture

Spray Experience

Mixing Custom Colors

What else can you do besides painting? Please check all that apply.

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?

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."





Thank you for your interest in working at ALLBRiGHT 1-800-PAINTING. Once your application is received, it will be reviewed. If interested, we will be in touch within two weeks.