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Do you have a driver's license? Yes
No
Driver's License Number
State
Have you ever been convicted of a crime?
Yes
No
If yes, please explain:
Position Applying For
Salary
Required
How were you referred to Fitzgerald Painting, Inc.?
Education
High School
Graduated
Yes
No
Technical School
Graduated
Yes
No
College
Graduated
Yes
No
Previous Employment
List your current or most recent employment
first. Include work related internships, military and volunteer work.
Skill Assessment
Are you presently working?
Yes
No
Have you had much spray experience?
Yes
No
Can you reglaze windows?
Yes
No
Can you move a 32 foot latter?
Yes
No
Can you tape sheetrock?
Yes
No
Have you ever sanded floors with a floor sander?
Yes
No
Have you ever worked with power sanders?
Yes
No
Makita Sanders
Porter
Cable DA Sanders
Have you been in a situation when you had to manage people?
Yes
No
Do you want to be in a position to manage others?
Yes
No
What do you like to do the most in the painting field?
What is your strongest asset as a painter?
What is your least favorite task in the painting field?
What do you like to do when you are not working?
How long does it take you to paint a window 6 over 6?
How long does it take you to paint a window 12 over 12?
How long does it take you to reglaze an average 6 over 6 window?
How much square footage of siding can you paint in a
hour?
What would you like to know more about in the painting field?
What do you see yourself doing in 3 years?
What can you contribute to Fitzgerald Painting, Inc.?
Employee compensation is based
on
Product knowledge
Technical knowledge
Productivity
Willingness and capability to manage others
Wage increases are based upon the increase in knowledge, productivity or the
ability to manage others. What are you going to do to work toward pay
increase?
Release Authorization
I. In connection with my
application for employment, I understand that an investigative consumer report
may be requested that will include information as to my character, work
habits, performance, and experience, along with reason for termination of past
employment. I understand that as directed by company policy and
consistent with the job described, you may be requesting information from
public and private sources about my workers compensation injuries, driving
record, court record, education, credentials, credit and references.
II. Medical and worker's
compensation information will only be requested in compliance with the Federal
Americans with Disabilities Act (ADA) and / or any other applicable state
laws. According to the Fair Credit Reporting Act, I am entitled to know
if employment is denied because of information obtained by my prospective
employer from a consumer reporting agency. If so, I will be notified and
given the name and address of the agency or the source which provided the
information.
III. I acknowledge that a
telephonic facsimile (FAX) or photographic copy shall be as valid as the original.
This release is valid for most federal, state and country agencies, including
the Minnesota Department of Labor.
IV. Minnesota and California
applicants only; if you want a copy of the report(s) ordered check this box .
The report(s) will be sent by the reporting agency to you at the address
below.
V. I herby authorize, without
reservation, any law enforcement agency, institution, information service
bureau, school, employer, reference or insurance company contacted by AVERT,
INC. or its agent, to furnish the information described in Section I.
The following information is
required by law enforcement agencies and other entities for positive
identification purposes when checking public records. It is confidential
and will not be used for any other purposes. I hereby release the
employer and agent and all persons, agencies and entities providing
information or reports about me from any and all liability arising out of the
request for or release of any of the above mentioned information or reports.
Please provide your full name
First
Middle
Last
Please provide other names you have used
Home address
City
State
Social Security Number
Date of Birth
The following states require Sex and Race
AL, AR, FL, GA, IA, IL, IN, MI, OR, TX, WI
Sex:
M
F
Race:
Driver's License
Number
State
Name as it appears on license
Typing your name here is as valid as your
Signature
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