Join Our Team - Nelson Painting, Inc.

Employer: Nelson Painting

Position Applying For*

Personal Data

Name*

First Middle Last

Email*

Street Address / Mailing Address*

Street Address Address Line 2 City State ZIP Code

Home Telephone Number

Business Telephone Number

Cellular Telephone Number*

Date you can start work*

Salary Desired*

Do you have a High School Diploma or GED?*

Yes
No

Position Information

Check all that you are willing to work*

Full Time
Part Time
Days
Evenings
Swing
Graveyard
Weekends

Status*

Regular
Temporary

Are you authorized to work in the U.S. on an unrestricted basis?*

Yes
No

Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?*

Yes
No

Can you perform these essential functions of the job with or without reasonable accommodation?*

Yes
No

QUALIFICATIONS

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.

Schools*

School Name	Degree	Address / City / State

SPECIAL SKILLS*

List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.

References*

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references

Name	Address / City / State	Phone	Relationship

Work History*

Start Date (mo/day/yr)	End Date (mo/day/yr)	Company Name	Supervisor’s Name	Phone Number	City	State	Zip	Duties	Reason for Leaving	Starting Salary	Ending Salary

Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)

May we contact your present employer?*

Yes
No

Signature*