Employment Application

    Note: Items in red are required.

Name:

Phone:

 - -

Mailing Address:

City:

State/Outside US:

If Outside US, Where:

Zip:

Email:

Do you currently have a valid drivers license?:

Yes    No

In What State/Outside US:

If Outside US, Where:

Drivers License #:

Social Security #:

Date of Birth:

Desired Salary:

Willing to relocate?:

Yes    No

Willing to travel?:

Yes    No

How do you feel about traveling 50% or more of the time?:

Applying for What Position?:

How did you learn about us?:

Date you can start?:

Have you ever been employed with us before?:

Yes    No

If yes, please give dates:

 —

May we contact your past employers?:

Yes    No

Have you ever been convicted of any crime within the last 7 years?:

Yes    No

If Yes, please explain:

List Reference 1
Please list the name, address, occupation, and phone number of this person.

Name:

Address:

Occupation:

Phone:

 - -

List Reference 2
Please list the name, address, occupation, and phone number of this person.

Name:

Address:

Occupation:

Phone:

 - -

List Reference 3
Please list the name, address, occupation, and phone number of this person.

Name:

Address:

Occupation:

Phone:

 - -

List Employer - PRESENT JOB
Please enter the appropriate information for this employer.

Company:

Address:

Supervisor:

Phone:

 - -

Date of Employment:

 —

Description of Work:

Reason for Leaving:

List Employer - PREVIOUS JOB 1
Please enter the appropriate information for this employer.

Company:

Address:

Supervisor:

Phone:

 - -

Date of Employment:

 —

Description of Work:

Reason for Leaving:

List Employer - PREVIOUS JOB 2
Please enter the appropriate information for this employer.

Company:

Address:

Supervisor:

Phone:

 - -

Date of Employment:

 —

Description of Work:

Reason for Leaving:

List Employer - PREVIOUS JOB 3
Please enter the appropriate information for this employer.

Company:

Address:

Supervisor:

Phone:

 - -

Date of Employment:

 —

Description of Work:

Reason for Leaving:

APPLICANT'S STATEMENT

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also that I am required to abide by all rules and regulations of the employer. Also, I am allowing DJ's Enterprise / DJ's Painting, Inc. to do a background check in both my criminal and driving records.

Yes, I Agree to the Above
No, I Don't Agree to the Above

  

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