Full Name:
Cell phone Number (smart phone required):
Email:
Current Address
City/State/ZIP
Previous City and State (if applicable):
Date Available for Employment:
Driver’s License Number:
Driver’s License Expiration:
What beginning wage would you be willing to accept?
If yes, where did you attend?
Additional Education (please describe):
Employer:
Position
Dates Employed:
Wage:
Supervisor Name:
Supervisor Position:
Job Description:
Employer Phone Number:
Employer Address:
Reason for Leaving:
Employer:
Position:
Dates Employed:
Wage:
Supervisor Name:
Supervisor Position:
Job Description:
Employer Phone Number:
Employer Address:
Reason for leaving:
Employer:
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Dates Employed:
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Supervisor Name:
Supervisor Position:
Job Description:
Employer Phone Number:
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Reason for leaving:
Name:
Position:
Relation to Applicant:
Company:
Phone Number:
Email (optional):
Name:
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Relation to Applicant:
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Name:
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Relation to Applicant:
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Email (optional):
1. Which position are you best suited for?
Trainee — Learn to be a professional painter, no experience necessary ($11.50 - $12.00 / hour)
Prepper — Taping, masking, scraping, caulking, and safe ladder moving ($12.00 - $17.00 / hour)
Painter — Proper paint prep and application; friendly, safe, and efficient ($17.00 - $20.00 / hour)
2. Please rate your skill level for this position
0 (no experience)
1
3
4
5 (flawless worker)
3. Are you able to transport yourself and your equipment/materials to and from jobsites throughout the day?
Yes, I have a truck
Yes, I have a car
Yes, I have an SUV
No, I do not have a cae
Other:
4. If hired, you will require a criminal background check and I9 verification. Do you understand and accept this process?
All OK — there are no legal concerns which would restrict me from doing this job
Not OK — I have legal concerns
If you selected “Not OK”, please explain below:
5. Do you have a neat, professional appearance? Not allowed – visible piercings, loose jewelry, gauged ears, or tattoos above the neckline
Yes, I have professional appearance
No, I do not have professional appearance
6. Do you smoke? If so, are you a considerate smoker?
Yes, I smoke and am a considerate smoker
Yes, I smoke and am Not a considerate smoker
I do not smoke
7. Are you a punctual worker?
Yes, I am always on time — which means 15 minutes early for a job
I am usually barely on time to the exact minute
No, I am often late
8. Can you work full days outside in a variety of weather?
Yes, I can work outside with no problems whatsoever
No, I cannot work outside for long hours
9. Do you have the strength and coordination to move and position a 24’ aluminum or fiberglass extension ladder by yourself?
Yes, I can safely move and position a 24' ladder
No, I am not comfortable with ladders
10. Do you have any physical limitations that could prevent you from performing duties common to the painting trade? (Including but not limited to: past injuries, fear of heights, etc.)
Yes, I have physical limitations that could keep me from performing my common painter's duties
No, I do not have any physical limitations
If you selected “Yes”, please explain below:
11. What formal group or classroom training have you had? Please circle all that apply.
First Aid or CPR
Ladder Safety
OSHA 10 hr.
EPA RRP (Lead Paint)
Paint Sprayer Safety
12. Which competitive sports have you played? (Intramural and competitive pickup games OK)
Basketball
Football or Baseball
Soccer, Volleyball, or Hockey
Tennis, Golf, or Swimming
Other (please specify):
Other (please specify):
13. How many exterior stucco homes would you guess you have painted?
14. What paint brands/lines do you have the most experience with?
15. Please list any painting equipment you currently own.
16. Painter A can paint 2 doors in 1 hour. Painter B can paint 4 doors in 1 hour. Both do their work safely and with high quality results. Who gets hired?
Painter A
Painter B
17. We are a company who cares, has fun, and has high expectations for performance. Please explain in your own words how you would be a great fit.
18. Please include any additional information you would like to add or share.
Name:
Number:
