Application For Employment

F&M Painting Co

F&M Painting Co is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email Address

Date of Application

Date of your submission

YYYY

Employment Position

Position(s) applying for: Painter (full time)

How did you hear about this position?

If needed, are you available to work overtime?

On what date can you start working if you are hired?

YYYY

Do you have reliable transportation to and from work

Do you have a current and valid drivers license?

Personal Information

Are you a U.S. citizen or approved to work in the United States?

Yes

What document can you provide as proof of citizenship or legal status?

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes

If yes, please state the nature of the crimes(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

Education and Training

Highschool

High School Name

Location (City, State)

Year Graduated

College/University

College/University Name

Location (City, State)

Year Graduated

Degree Earned

Vocational School/Specialized Training

Vocational School/Specialized Training Name

Location (City, State)

Year Graduated

Degree Earned

Previous Employment

Employer Name

Job Title

Supervisor Name

First Name

Last Name

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dates Employed

Reasons for leaving

Employer Name

Job Title

Supervisor Name

First Name

Last Name

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dates Employed

Reasons for leaving

Employer Name

Job Title

Supervisor Name

First Name

Last Name

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dates Employed

Reasons for leaving

If there is a particular employer(s) you do not wish us to contact, please indicate which one(s) and the reason you do not want us to contact them.

Have you ever been fired or asked to resign from a job?

Yes

If yes, provide details:

References

Please provide 3 personal and professional reference(s) below:

Reference 1

First Name

Last Name

Phone Number

(###)

###

####

Contact Information

Reference 2

First Name

Last Name

Phone Number

(###)

###

####

Contact Information

Reference 3

First Name

Last Name

Phone Number

(###)

###

####

Contact Information

Include any additional information you would like us to know that would be beneficial in our hiring consideration.

Please read and sign below: I hereby certify that all of the information provided by me in this application (or any other required documents) is correct, accurate, and complete to the best of my knowledge. I understand that falsification, misrepresentation, or omission of any facts in said documents will be cause for immediate dismissal from employment regardless of the timing of the circumstances. I authorize the company to inquire about the information provided in this application, my work history, and qualifications, and any other information the company in its discretion considers relevant. I authorize any person or entity to provide the requested information to the company. I release the company and its representatives and any person or entity (and its representative) which provides the information form all liability arising from making inquiries providing the information, or deciding about my employment as a result of the inquiries or information.

Applicant Name

First Name

Last Name

Date

YYYY