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           EMPLOYMENT APPLICATION

          AN EQUAL OPPORTUNITY EMPLOYER

           


          Date:



          FOR OFFICE USE ONLY

          Start Date:   

          Pay Rate:       

          Approve By:


          PLEASE PRINT


          Last Name:

          		First Name: Middle Initial:
          Cellphone Number: Home Telephone:
          Telephone Number where you can be contacted
          Present Address:
          No: Street:City:
          State:Zip:
          Permanent Address if Different From Present Address:
          No.:
          		Street:
          		City:
          State:
          		Zip:

          EMPLOYMENT DESIRED:
          Position Applying For:
          Start Date: Wages Expected: $  / hour
          Are you currently Employed? If so, may we inquire of your present employer?
          Specific Skills (for example industrial caulking, vinyl wall protection, spray texture, brush/roll)

          PERSONAL INFORMATION:
          Are you at least 18 years old?Yes:   No:
          If no, can you submit a work permit if hired?Yes:   No:
          If hired, can you present evidence of your U.S. Citizenship or proof of your legal
          right to live and work in this country?          		Yes:   No:
          Are you able to perform the essential functions of the job for which you are
          applying, either with or without reasonable accommodation?          		Yes:   No:
          If no, describe the functions that cannot be performed:

          (NOTE: WE COMPLY WITH THE AMERICANS WITH DISABILITIES ACT AND CALIFORNIA’S FAIR EMPLOYMENT AND HOUSING ACT. WE CONSIDER REASONABLE ACCOMMODATION MEASURES THAT MAY BE NECESSARY FOR ELIGIBLE APPLICANTS/EMPLOYEES TO PERFORM ESSENTIAL FUNCTIONS. HIRE MAY BE SUBJECT TO PASSING A MEDICAL EXAMINATION, AND TO SKILL AND AGILITY TESTS.)

          Have you ever been convicted of a felony?
          (Do not identify any felony conviction for which the record has been judicially ordered sealed,
          expunged, or statutorily eradicated.)          		Yes:  No:
          If yes, please explain and also state nature of the crime(s), when and where convicted and disposition of the case:
          Have you ever been convicted of a misdemeanor?Yes:   No:
          (Do not answer “yes” if the conviction record has been judicially ordered sealed, expunged, or statutorily eradicated.
          Do not answer “yes” if probation for the conviction was successfully completed or discharged and the case was judicially dismissed under Penal Code section 1203.4.
          Do not answer “yes” if your conviction was for misdemeanor marijuana convictions and is more than 2 years old.)
          If yes, please explain and also state nature of the crime(s), when and where convicted and disposition of the case:


          (NOTE: NO APPLICANT WILL BE DENIED EMPLOYMENT SOLELY ON THE GROUNDS OF CONVICTION OF A CRIMINAL OFFENSE. THE NATURE OF THE OFFENSE, THE DATE OF THE OFFENSE, THE SURROUNDING CIRCUMSTANCES AND THE RELEVANCE OF THE OFFENSE TO THE POSITION(S) APPLIED FOR MAY, HOWEVER, BE CONSIDERED.)

          EDUCATION, TRAINING AND EXPERIENCE:
          School Name and AddressNo. Of Years CompletedDid You Graduate?Degree or Diploma
          High School  Yes:
          No:            		 
          University/College  Yes:
          No:            		 
          Vocational/ Trade/Business  Yes:
          No: 
          		 
             DatesType of Work
          Apprenticeship    
          Mechanical Experience    

          EMPLOYMENT HISTORY:

          Please list below all of your present and past work experience for the last 10 years, starting with your most recent employer. Please account for all periods of unemployment. If you need additional space, please attach a separate page. You must complete this section even if attaching a resume.

          Name of Employer:
          Address:
          No.:
          		Street:
          		City:
          State:
          		Zip:
          Type of Business:
          Telephone No.:Your Supervisor’s Name:
          Your Position and Duties:
          Date of Employment: From: To:
          Starting Salary:Ending Salary:
          Reason for Leaving:
          May we contact this employer for a reference?Yes:          No:


          Name of Employer:
          Address:
          No.:
          		Street
          		City
          State:
          		Zip
          Type of Business:
          Telephone No.:
          		Your Supervisor’s Name:
          Your Position and Duties:

          Date of Employment: From:
          		To:
          Starting Salary:
          		Ending Salary:
          Reason for Leaving:
          May we contact this employer for a reference?
          		Yes:  No: 



          IN CASE OF EMERGENCY, CONTACT:

          NAME 
          TELEPHONE NUMBER  
          RELATIONSHIP  

          PLEASE READ CAREFULLY, INITIAL EACH PARAGRAPH AND SIGN BELOW:


          - I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me to the questions and statements on this application are true and correct. I hereby authorize PAINTING UNLIMITED, INC. to verify all information on this application. I also authorize my former employers and educational institutions to give PAINTING UNLIMITED, INC. any information they may have regarding me. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

          - I understand that nothing contained in the application, or conveyed during any interview is intended to create an employment contract between me and the Company. I understand that if employed, and in consideration of my employment, I agree to conform to the rules and regulations of the Company. I am not applying for a position covered by a union contract, therefore every aspect of my employment with the Company shall be on an at-will basis, meaning that I or the Company may terminate my employment at any time, for any reason, with or without cause. I further understand that the Company expressly reserves its inherent authority to manage and control the business enterprise and to exercise its sole discretion to determine all issues pertaining to my employment, including all matters pertaining to promotion, job assignment, the size of the workforce, demotion, transfer and discipline.

          - I further understand and agree that no one other than the President/Vice President of the Company may modify or change the at-will nature of my employment relationship (if applicable). Any such modifications must be in writing and signed by the President/Vice President of the Company and me to be effective.


          APPLICANT’S SIGNATURE: DATED:


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          Associated Builders and Contractors Inc.

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          Drug-Free Workplace

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          Greater Memphis Chamber

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          Licensed, Insured, and Bonded

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          Better Business Bureau

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          Builders Exchange of Memphis

          Painting Unlimited, Inc.

          5410 Crestview Drive, Memphis, TN 38134

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          901-377-3401
          sales@painting-unlimited.net

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          Fax: 901-377-0837

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          Monday to Friday : 8:00 AM – 4:00 PM
          Saturday to Sunday : Closed

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