Premium Painters
Application for Employment
9425 SE Federal Highway Hobe Sound, FL 33455
Palm Beach 561-632-7499 Martin 772-545-2154
St. Lucie 772-263-2801
YOU MUST HAVE A VALID DRIVERS LICENSE
AND BE A US CITIZEN
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| Name:
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Phone:
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We are a Drug Free Workplace.
You will be required to take a drug test.
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| If employment is offered to me through Premium Painters, I agree to submit to a drug test. |
Yes:
No:
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Have you ever filed a Workman's Comp Claim?
Yes:
No: |
If yes, please explain.
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Do you currently have a Workman's Comp Claim in Progress?
Yes:
No: |
If yes, please explain.
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| You must have the following forms of identification to be considered for the position. Do you have a copy of the following: |
Driver's License:
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Yes:
No:
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Social Security Card:
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Yes:
No: |
| I understand that Premium Painters has a 90 day Probation Period in which all employees will go through. After your first 90 days, your performance will be evaluated. |
| Signature: |
Date: |
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Employment Application
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| Applicant Information |
| Last Name:
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First Name: |
Street Address:
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| City:
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State:
Zip:
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| Phone: |
Email:
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| Date Available: |
Social Security #: |
**Desired Salary:
(To be considered for the position, must include desired salary. |
Position Applied for: |
| Are you a citizen of the United States? |
Yes:
No: |
| If no, are you authorized to work in the US? |
Yes:
No: |
Have you ever worked for this company?
If so, when? |
Yes:
No: |
Have you ever been convicted of a felony?
If yes, please explain below. |
Yes:
No: |
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| Education |
| High School: |
Address: |
From:
To: |
Did you Graduate?
Yes:
No: |
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| College: |
Address: |
From:
To: |
Did you Graduate?
Yes:
No: |
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| Other: |
Address: |
From:
To: |
Did you Graduate?
Yes:
No: |
| References |
| Please list three professional references. |
| Full Name: |
Relationship: |
| Company: |
Phone: |
Address: |
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| Full Name: |
Relationship: |
| Company: |
Phone: |
Address: |
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| Full Name: |
Relationship: |
| Company: |
Phone: |
Address: |
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| Previous Employment |
Company 1 |
| Company: |
Phone: |
| Address: |
Supervisor: |
| Job Title:
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Starting Salary:
Ending Salary: |
| Responsibilities:
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From:
To: |
| Reason for Leaving:
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May we contact your previous supervisor for a reference?
Yes:
No: |
| Company 2 |
| Company: |
Phone: |
| Address: |
Supervisor: |
| Job Title: |
Starting Salary:
Ending Salary: |
| Responsibilities: |
From:
To: |
| Reason for Leaving: |
May we contact your previous supervisor for a reference?
Yes:
No: |
| Company 3 |
| Company: |
Phone: |
| Address: |
Supervisor: |
| Job Title: |
Starting Salary:
Ending Salary: |
| Responsibilities: |
From:
To: |
| Reason for Leaving: |
May we contact your previous supervisor for a reference?
Yes:
No: |
| Military Service |
| Branch: |
From:
To: |
Rank at Discharge:
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If other than honorable, please explain.
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| Disclaimer and Signature |
| I certify that my answers are true and complete to the best of my knowledge. |
| If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release. |
Signature:
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Date: |
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