JOB APPLICATION

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* Name:

* Your Address:

* City, State, Zip:

  Today's Date:

* Home Phone:

  Cell Phone:

  E-mail Address:

* Referral Source:

  1. Commitment Level: 3-6 months, 6-12months, 1 year, 2-3 years, 5+ years

  2. Hours: full-time, part-time, on call

  3. Availability: immediately, next week, next month, next season

  4. Positions: painter, lead painter, crew leader, project manager, field supervisor

* 5. Transportation: yes—reliable, no—not reliable

* 6. Criminal Background: no yes
  explain:
  

  7. Driving Record: no tickets last 3 years      yes, in last 3 years
  explain:
  

  8. Experience description:
  
  

* 9. Interests/Hobbies:
  

* 10. Work References (last 3):

  name

phone

  name

phone

  name

phone

Call John Armstrong — 612-384-1148

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