G&S Painting Inc.

APPLICATION FOR EMPLOYMENT

Last Name:

Today's Date:
First Name::

Current Address:
SOCIAL SECURITY# : XXX-XX-

City, State, Zip:

Enter only last four digits of Social Security Number

Phone Number:
Are you 18 years old or older?
BACKGROUND INFORMATION
Have you ever been convicted of a crime?                Do you have a clean driving record?
Do you have any felony charges pending against you?

Are you currently on probation or parole?
If you answered yes to any of the above questions, give details below.

EDUCATION
High School Graduate:

College or University:

GED:

FORMER EMPLOYERS

Dates of Employment

Name and address

Salary

Position

Reason for Leaving
1.
2.
3.
SPECIAL SKILLS

What foreign Language do you speak or write fluently?

What other special skills do you have that would be of interest to a prospective employer?

MILITARY SERVICE 

Military Service:

Rank:

Discharge Date:

Type of Discharge:

Currently Enlisted:

IN CASE OF AN EMERGENCY, NOTIFY:

NAME:

PHONE NUMBER:

NAME:

PHONE NUMBER:

AUTHORIZATION AND SIGNATURE

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION.  I UNDERSTAND THAT MISREPRESENTATION OR OMISSIONS OF THE FACTS CALLED FOR IS CAUSE FOR DISMISSAL.  FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PREVIOUS NOTICE.

FILLING IN THE FOLLOWING INFORMATION WILL BE YOUR DIGITAL SIGNATURE

FULL LEGAL NAME:

DATE:

LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER: