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Employment Application:

* Required Field

Personal Information:

* Last Name:
* First Name:
Middle:
* Address:
* City:
* State:
* Zip:
* Phone:
* Email:
* SSN:

Employment Desired:

* Position(s) Applying for:
* Date you can begin?
Desired Wage:
* Are you currently employed?
Yes No
If yes, may we contact employer?
* Employment Sought:
* Can you, at the time of employment, submit verification of your legal right to work in the United States?
Yes No
Rate your experience in the following areas on a scale of 0-10, 0 meaning no experience and 10 meaning expert.
* Residential Exterior:
* Residential Interior:
* Luxury Homes:
* Spray Siding:
* Roll Walls:
* Stain Matching:
* Brush/Roll Trim:
* Spray Ceiling:
* Spray Varnish:
* Masking/Taping:
* Cut Ceiling Lines:
* Spray Enamel:
* Caulking:
* Enameling/Brush:
* Touch-up Walls or Woodwork:
* Glazing:
* Wallpaper Removal:
* Hanging wallpaper:
* Pressure Washing:
* Drywall Repair:
* Antiquing/Glazes:
* Operate Boom Lift:
Other Important Information
* Are you a legal insurance driver?

Yes No
* Do you have reliable transportation?

Yes No
* Have you ever been convicted, plead guilty or no contest to a felony, misdemeanor, or any violation of the law, or are you subject to any pending charges?

Yes No
* Have you ever held a supervisory position?

Yes No
* Are you comfortable climbing ladders up to 40 feet or working from planks or scaffolding?

Yes No

High School Education:

High School:
Location:
 
* Did you graduate? Yes   No
 

College:

Name:
Location:
Major:
* Did you graduate? Yes   No  
 

Trade/Business/Grad School:

Name:
Location:
Major:
Did you graduate? Yes   No  

* Why are you interested in becoming an employee with Sampson's Painters & Decorators Painting?
* What are your career goals?
* Where did you get information about the position?

Employment History (List most recent employer first):

Company Name:
Supervisor:
Address:
City, State, Zip:
Phone Number:
Date of Employment:
Responsibilities:
Reason for Leaving:
 
Company Name:
Supervisor:
Address:
City, State, Zip:
Phone Number:
Date of Employment:
Responsibilities:
Reason for Leaving:
 
Company Name:
Supervisor:
Address:
City, State, Zip:
Phone Number:
Date of Employment:
Responsibilities:
Reason for Leaving:

References:

* Reference Name: * Company Name: * Phone:
* Address: * Years Acquainted:
 
Reference Name: Company Name: Phone:
Address: Years Acquainted:
 
Reference Name: Company Name: Phone:
Address: Years Acquainted:
 
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