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Employee Application

Full Name
Address
City, State, Zip
Home Phone
Cell Phone
Email
How did you hear about us?
Position(s) Applied for
What is the best time to call you?
Best number to reach you?
Are you legally eligible for employment in this country?
Date available to work?
Have you submitted an application here before?
  - If yes, when?
Have you ever been employed here before?
  - If yes, when?
What is your desired salary range or hourly rate of pay?
Do you have any issues with working overtime?
  - If yes, please explain:
Do you have any issues with driving/traveling to work sites?
  - If yes, please explain:
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?

The following questions are not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Have you ever pleaded "guilty" or "no contest" to, or ever been convicted of a misdemeanor or felony?
If yes, please provide date(s) and details:
Have you ever been arrested for any matters for which you are out on bail or on your own recognizance pending trial?
If yes, please provide date(s) and details:
Have you entered into an agreement with any former employer or other party (such as a non-competition agreement) that might, in any way, restrict your ability to work for our company?
If yes, please explain:

Job History

Starting with your most recent employer, provide the following information:
Employer #1
Employer Name
Address
Telephone
Job Title
Supervisor
Job Duties
Start Date
End Date
Starting Pay
Ending Pay
Why did you leave?
What did you like most about this position?
What did you like least about this position?
May we contact this employer for a reference?
 
Employer #2
Employer Name
Address
Telephone
Job Title
Supervisor
Job Duties
Start Date
End Date
Starting Pay
Ending Pay
Why did you leave?
What did you like most about this position?
What did you like least about this position?
May we contact this employer for a reference?
 
Employer #3
Employer Name
Address
Telephone
Job Title
Supervisor
Job Duties
Start Date
End Date
Starting Pay
Ending Pay
Why did you leave?
What did you like most about this position?
What did you like least about this position?
May we contact this employer for a reference?
 
Explain any gaps in your employment:
If not addressed on the previously, have you ever been fired or asked to resign from a job?
If yes, please explain:
In your current or in a prior job, have you ever written instructions or directions to be followed by employees or customers?
If yes, please explain:
Is there any other job-related information you want us to know about you?

Educational Background
School #1
School
Years Completed
Completed Diploma
GED
Degree
Other
GPA/Class Rank
Major/Minor
 
School #2
School
Years Completed
Completed Diploma
GED
Degree
Other
GPA/Class Rank
Major/Minor
 
School #3
School
Years Completed
Completed Diploma
GED
Degree
Other
GPA/Class Rank
Major/Minor
 

References

List name and telephone numbers of three business/work references who are not related to your and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
Reference #1
Reference #2
Reference #3
 

Experience

Please select your skill level for the following:
Stucco Repair
Drywall repair and Texture
Spray Experience
Mixing Custom Colors
What else can you do besides painting? Please check all that apply.		 Staining
Lacquer
Faux Finish
Wallpaper
Other
Do you have your own tools?
Do you have reliable transportation?
What do you like most about painting?
What do you like least about painting?
What is your strongest skill?
What do you want to learn more about painting?
If we were to ask 3 people about you, what would they say?
What do you like to do when you are not painting?

 
     

 
  Interior Painting and Decorating:  Interior Painting Color Imaging Services Interior Decorating  Color Consultating  Wallpaper Removal and Instulation  Plaster Repair  Decorative Paint Finishes  Plaster and Drywall Repair  Water and Fire Damage Restoration  Cabinet Painting, Stripping, Refinishing

  
  Exterior Painting and Decorating: Carpentry Repair  Surface Restoration  Property Management and Maintenance  Historic Home Painting  Victorian House Painters  Aluminum and Vinyl House Paint Refinishing  Window Washing  Water Sealing / Protective Coatings   Roof Painting and Coatings  Deck / Fence Staining, Painting and Natural  Wood Preservation and Restoration  Epoxy Floor Coatings  Lead Paint Removal  Metal Roof Coatings
                                                              		 
Log Homes: 
 Maintenance  Restoration   Refinishing  Chemical stripping  Stain removal Long term mold prevention and treatment
 Power washing  Caulking  Rot repair  Mold and mildew removal  Paint removal Wood replacement
 Chinking   Log homebuilder services
Matt Jaworski,
Jaworski Coatings Inc,
41735 Oberlin Elyria Rd,
Elyria, Ohio 44035,
(440) 284- 0233 Office,
(440) 258-0064 Mobile,
(440) 328-4539 Fax.
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