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Employment

American Handy Paint and Clean / Employment

Employment

Applicant Information
Previous Employment
References
Emergency Contact Information
Disclaimer and Signature

Applicant Information

First Name

Middle Name

Last Name

Date

Street Address

Apartment/Unit #

City

State

Zip Code

Phone

Email

Repeat to confirm

Date Available

Social Security Number

Position Applied For

Are you a citizen of the United States?

Yes No

If no, are you authorized to work in the U.S.?

Yes No

Have you ever worked for this company?

Yes No

If yes, when?

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Previous Employment 1

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason For Leaving

May we contact your previous supervisor for a reference?

Yes No

Previous Employment 2

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason For Leaving

May we contact your previous supervisor for a reference?

Yes No

Reference 1

Please list two professional references.

Full Name

Relationship

Company

Phone

Address

Reference 2

Full Name

Relationship

Company

Phone

Address

Emergency Contact 1

First Name

Middle Name

Last Name

Phone

Emergency Contact 2

First Name

Middle Name

Last Name

Phone

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Accept

Todays Date

Signature

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Our mission is to provide quality affordable improvement, repairs and painting services to our commercial and residential clients.