Application for Employment

(636) 379-3200

841 West Terra Lane
O'Fallon, Missouri 63366

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Home or Alternate Phone

(###)

###

####

Eligible to work in the U.S.?

Union Member?

How long have you been in the union and at what level? What is your local union number?

Valid driver’s license?

Have you previously applied with our company?

Referred By:

Shirt Size

EDUCATION

High School Diploma/GED equivalent:

Address, Dates, Did you graduate?, Diploma.

College:

Address, Dates, Did you graduate?, Diploma.

List all current certifications:

Please list any previous painting experience:

U.S. Military Service:

Rank, Number of years served.

REFERENCES

References:

Please list three professional references. Full Name, Relationship, Company, Phone, Address.

PREVIOUS EMPLOYMENT

Previous Employment

Company, Phone, Address, Supervisor, Job Title, Starting Salary, Ending Salary, Responsibilities, Dates, Reason for Leaving, May we contact your previous supervisor for a reference?

Physical Record

I am able to perform physically intensive job duties as required with or without reasonable accommodation in accordance with OSHA safety standards

Signature

I authorize investigation of of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of wags and salary, be terminated at any time without any previous notice.

Application for Employment

Rainbow Painting Company