Employee Application | The PaintSmiths of St. Louis

Name

First

Middle

Last

Phone

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date Available

Position Applied For

Are you a citizen of the United States?

Yes
No

If no, are you authorized to work in the U.S.?

Yes
No

Have you ever worked for this company?

Yes
No

Have you ever been convicted of a felony?

Yes
No

If Yes, when was your last employment date for this company?

If Yes, please explain the felony conviction

Education

High School

Start Date

Diploma

Last Date

Address

Did You Graduate?

Yes
No

College

Start Date

Degree

Last Date

Address

Did You Graduate?

Yes
No

Other

Start Date

Degree

Last Date

Address

Did You Graduate?

Yes
No

References

Reference 1 Name

Phone

Relationship

Email

Company

Address

Reference 2 Name

Phone

Relationship

Email

Company

Address

Previous Employment

Company

Job Title

From

Phone

Supervisor

To

Address

Responsibilities

May we contact your previous supervisor for a reference?

Yes
No

Company

Job Title

From

Phone

Supervisor

To

Address

Responsibilities

May we contact your previous supervisor for a reference?

Yes
No

Company

Job Title

From

Phone

Supervisor

To

Address

Responsibilities

May we contact your previous supervisor for a reference?

Yes
No

Military Service

Branch

From

Type of discharge

Rank at discharge

To

If other than honorable, explain

Safety Certifications

Additional Safety Certifications

Disclaimer and signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Date