Employment Application - Armadillo Painting, LLC

Position

Position & Type

Full Time
Part Time

Regular
Temporary
Summer Only

Administrative
Sales
Painter
Driver Position

Name *

First

Middle

Last

Present Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Home Phone #

Mobile/Cell Phone #

Email Address *

Availability

Desired Beginning Wage

$/hour or $/annually

Date Available for Work

Referred By

Please Answer the Following Questions - Check Yes or No

Are you 18 or older?

Yes
No

Do you have friends or relatives employed by Armadillo Painting?

Yes
No

Questionnaire

Have you ever been employed here before?

Yes
No

If yes, please provide dates and job title:

Are you legally authorized to work in the United States?

Yes
No

Note: if hired, an I-9 form, Employment Eligibility Verification, must be completed at start of employment.

Do you have a valid driver's license?

Yes
No

Questionnaire

In the last three (3) years, have you been convicted of a traffic violation or infraction?

Yes
No

If yes, please provide the date(s) and details:

Some positions with Armadillo Painting require the use of personal vehicles to transport equipment and materials to assigned job sites. If hired, do you have a reliable vehicle that you are willing to use for transporting Company equipment and materials to and from job sites?

Yes
No

Based on what you have been told or read, are you able to perform the essential functions of the job and meet the minimum physical requirements of the job?

Yes
No

Questionnaire #6

Have you been convicted of an offense against civil or military law, or released from a prison or other detention facility in the past seven (7) years?

Yes
No

Note: a conviction will not necessarily bar you from employment.

If yes, please provide the date(s) and details:

Education

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High School

College

Graduate

Did You Graduate?

Degree (If Applicable)

Skills and Qualifications

Please list any special skills and qualifications, licenses, and experience that you feel we should know.

(You can also use this space to describe continuing education, trade school, activity, special designations, or other special training/education you may have received).

Employment History

Employment #1

Company

Address

Job Title

Phone

Supervisor

Responsibilities

Layout

From

To

Reason for Leaving

Employment #2

Company

Address

Job Title

Phone

Supervisor

Responsibilities

Layout

From

To

Reason for Leaving

Employment #3

Company

Address

Job Title

Phone

Supervisor

Responsibilities

Layout

From

To

Reason for Leaving

References

Reference #1

Full Name

Company

Professional/Personal

Phone

Reference #2

Full Name

Company

Professional/Personal

Phone

Reference #3

Full Name

Company

Professional/Personal

Phone

Applicant Statement and Signature

I certify that the information provided on this application, resume and my answers are true and complete to the best of my knowledge. I have not knowingly withheld any fact or circumstance that would, if disclosed, affect my application unfavorably. I understand that any information provided by me this is found false, incomplete or misrepresented in any respect, will be sufficient cause to disqualify me from further consideration for employment with Armadillo Painting, (also known as “the Company”) and may be considered justification for immediate discharge when discovered. I understand that completion of this Application for Employment does not guarantee that I have been or will be employed by the Company.

I authorize Armadillo Painting, its representatives acting on its behalf to contact and obtain information from all references (personal and professional) employers, public agencies, licensing authorities and educational institutions and to verify the accuracy of all information provided by me in this application, resume or job interview. I authorize persons, schools, current and previous employers and organizations to provide information that may be required to arrive at an employment related decision. I hereby hold harmless and release all parties from liability for any damages that may result from furnishing same information to the Company.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States, and that in compliance with federal immigration laws I will complete an I-9 form.

If I am hired, I understand that employment with Armadillo Painting is “At-Will”. This means that my employment may be terminated at any time, with or without cause and without prior notice. I also understand that I may terminate my employment at any time, with or without prior notice.

I have read, been able to ask questions and fully understand and accept the above Applicant Statement.

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Signature

Date