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Name
*
Address
City
Date of Birth
Telephone
Email
*
Dates Available
Desired Wage
Years of Experience
High School
Did you Graduate
Yes
No
Employer one-Please list last employer first. Include Supervisor and duties
*
Dates worked
*
Telephone
*
Salary
Reason for leaving
*
Employer two-Include Supervisor and duties
*
Dates worked
*
Telephone
*
Salary
*
Reason for leaving
*
Can you pass a background check
*
Yes
No
Do you have any physical disabilities
Yes
No
If yes, Please describe
Do you have your own tools
*
Yes
No
Do you have your own transportation
*
Yes
No
Do you have Painter whites?
*
Yes
No
Experience with drywall repairs
Yes
No
Do you smoke?
*
Yes
No
Are you US citizen?
Yes
No
Do you have a fear of heights?
Yes
No
Comfortable climbing 30 foot ladders
Yes
No
Experience with drywall repairs
Yes
No
Valid drivers license?
Yes
No
Wage Desired
Selected Value:
10
Are you looking for a permanent full time position?
Yes
No
Part time
Sub contract
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