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Employment Application
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Employment Application
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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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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
Layout
High School
College
Graduate
Did You Graduate?
Did You Graduate?
Did You Graduate?
Degree (If Applicable)
Degree (If Applicable)
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.
Layout
Signature
Clear Signature
Date
Submit