Online Employment Application



Education Background

Name of School

City and State

Degree

Graduated/GED
(Yes or no)

High School

Business/Trade school

College

Graduate Study

Other (explain)

OSHA Card received Yes No          If yes, expiration date

Any site specific classes or orientation

Have you ever been convicted of a criminal offense other than minor traffic violations? Yes No
If yes, please state particulars



Employment History

Name of Employer          Phone # of Supervisor

Address of Employer            Job Title

Name of Supervisor      Dates of employment From To

Starting Salary /hr           Final Salary /hr

Reason for leaving

Describe major job duties

Other information


Name of Employer          Phone # of Supervisor

Address of Employer            Job Title

Name of Supervisor      Dates of employment From To

Starting Salary /hr           Final Salary /hr

Reason for leaving

Describe major job duties

Other information


Name of Employer          Phone # of Supervisor

Address of Employer            Job Title

Name of Supervisor      Dates of employment From To

Starting Salary /hr           Final Salary /hr

Reason for leaving

Describe major job duties

Other information

May we contact your present employer? Yes No

Remarks:Please use this space to provide any additional information you feel will assist us in evaluating your qualifications for employment. (Include an explanation of periods of unemployment in your employment history.)


References

List the names of three personal references who know you well. Do not list former employers, relatives or close friends.

Name

Street & City

Telephone

Occupation

Length of Acquaintance


PLEASE READ BEFORE SIGNING:
If you have any questions regarding this statement, ask your prospective employer before clicking "I agree."
    I hereby affirm that the information provided on this application is true to the best of my knowledge. I agree that misleading or falsified information, and/or omission may disqualify me from further consideration for employment and may be considered justification for dismissal when discovered at a later date. I further understand that employment may be contingent upon my passing a drug screen to the satisfaction of this company. If employment is obtained under this application, I will comply with all rules and regulations of this company. I authorize my former employers to release any information they may have regarding me. I agree that if I am employed, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated. I hereby acknowledge that I read the foregoing disclosure and understand it.
I agree

Please fill in all the necessary entries needed for consideration of your employment

Bob's Painting Company is an equal opportunity employer that does not discriminate in hiring or employment on the basis of race, religion, color, sex, age, national origin, veteran status, disability, or sexual orientation. No information on this appliction will be used for such discrimination.