Online Application Form

Use your "tab" key to move from one field to another.

Name:

Email Address:

Address:

Home Phone:
Cell or Message Number:
Driver's Licence #:

Social Security #:


Employment Desired

Position applying for:


What days are you available to work?

Are you available to work weekends?


Are you available to work overtime?


Do you have reliable transportation to work?


Are you available for travel?


If hired, what date can you start?


Salary desired?
$


Personal Information

List any friends or relatives you may have working at Specialized Painting.
Please include your relationship to the person (example: John Smith-friend. Suzy Jones-sister).



Please tell us why you would like to work at Specialized Painting?


Are you at least 18 years old?


If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?


Are you able to perform all the essential functions of the job for which you are applying?


If no, please describe the functions that you can not perform:


(NOTE: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)


Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for Marijuana-related offenses that are more than two years old need not be listed.)


If yes, state nature of the crime(s), when and where convicted and disposition of the case:



(NOTE: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)


Do you speak and/or write another language?


Is so, which language(s)?

Education and Training


SCHOOL


NAME AND ADDRESS


NUM. YEARS


GRADUATE?


DEGREE


High School














College/University














Vocational













Do you have any other experience, training, qualifications or skills which you feel make you especially suited for work at Specialized Painting? If so, please explain:



Employment History

Are you currently employed?


If so, may we contact your current employer?



List below all present and past employment starting with your most recent employer. Account for all periods or unemployment.








Current (or most recent) employer:


Name of employer:


Address:


Type of Business:


Telephone Number:


Supervisor's name:


Your position and duties:


Dates of employment:
From: To:

Weekly Pay:
Starting: $ Ending: $

Reason for leaving:









Previous employer:


Name of employer:


Address:


Type of Business:


Telephone Number:


Supervisor's name:


Your position and duties:


Dates of employment:
From: To:

Weekly Pay:
Starting: $ Ending: $

Reason for leaving:









Next previous employer:


Name of employer:


Address:


Type of Business:


Telephone Number:


Supervisor's name:


Your position and duties:


Dates of employment:
From: To:

Weekly Pay:
Starting: $ Ending: $

Reason for leaving:



Disclaimer and Authorization Statement


Please read the following four(4) paragraphs carefully. By clicking on the "submit" button you are agreeing to all the terms and conditions set-forth in each paragraph.

By clicking the "submit" button below, I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before the discovery.

By clicking the "submit" button below, I hereby authorize Specialized Painting Company Incorporated to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.

By clicking the "submit" button below, I hereby agree to submit to binding arbitration all disputes and claims arising out of the submission of this application. I further agree, in the event that I am hired by Specialized Painting Company Incorporated, that all disputes that can not be resolved by informal internal resolution which might arise out of my employment with Specialized Painting Company Incorporated, whether during or after that employment, will be submitted to binding arbitration. I agree that such arbitration shall be conducted under the rules of the American Arbitration Association. This application contains the entire agreement between the parties with regard to dispute resolution, and there are no other agreements as to dispute resolution, either oral or written.

By clicking the "submit" button below, I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create any employment contract between me and Specialized Painting Company Incorporated. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or Specialized Painting Company Incorporated, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and Specialized Painting Company Incorporated's designated representative.


If you agree with all of the above statements and would like to submit this application to Specialized Painting Company Incorporated, please click here: