Brick City Painting

Please complete all the information below in the following online application:

First Name:

Middle Name:

Last Name:

Address:

City:

State:

Zip:

Email:

Phone:

Cell Phone:

Are You 18 Years or Older?

How did you learn about our company:

Postion Sought:

Available Start Date:

Desired Hourly Pay Range:

Are you currently employed:

Education

High School - Name & Location - Degree - Major/Subject:

College/University - Name & Location - Degree - Major/Subject:

Specialized Training/Trade - Name & Location - Degree - Major/Subject:

Other Education - Name & Location - Degree - Major/Subject:

Military Service:

Other Skills

Professional Liceneses, Certifications, or Registrations:

List special skills which could be useful for this company:

Do you have a valid driver's license?

Do you have your own transportation?

Are you afraid of heights?

Can you work on a ladder?

Are you able to lift 50 pounds or more?

Do you know how to read a tape measure?

Personal References (Not Relatives)

List Name, Address, Telephone, Occupation and Years Known :

Employment History

Employer:

Start Date / End Date:

Work Address:

Phone:

Postion:

Duties Performed:

Pay Rate $:

Supervisor's Name & Title:

Reason For Leaving:

Employer:

Start Date / End Date:

Work Address:

Phone:

Postion:

Duties Performed:

Pay Rate $:

Supervisor's Name & Title:

Reason For Leaving:

Employer:

Start Date / End Date:

Work Address:

Phone:

Postion:

Duties Performed:

Pay Rate $:

Supervisor's Name & Title:

Reason For Leaving:

Employer:

Start Date / End Date:

Work Address:

Phone:

Postion:

Duties Performed:

Pay Rate $:

Supervisor's Name & Title:

Reason For Leaving:

Information to the Applicant:
By submitting this application you agree to the following:
___ I certify that all answers given herein are true and complete to the best of my knowledge, and, in the event of employment, I understand that any false or misleading information given in my application or personal interview may result in termination.
___ I authorize investigation of all statements contained in this application for employment as may be necessary for an employment decision.
___ In the event of employment, I understand that I will be subject to a criminal and sex offender background check.
___If hired, I will be required to supply 2 forms of identification and may be required to participate in a drug test.
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Online Employment Application