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First Name
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Last Name
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Email Address
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Phone
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City
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State/Province
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What position are you applying for?
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Painter
Apprentice
Lead Painter
Team Lead
Other
Please choose the position that best reflects your skills.
Do you have a valid driver's license?
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Yes
No
Do you have reliable transportation to and from the job site?
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Yes
No
Typically, we meet at the job site each day.
Have you had any formal training or certifications which may benefit you in this position?
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First Aid or CPR
Ladder Safety
EPA RRP (Lead Paint)
OSHA 10 Hr.
OSHA 30 Hr.
Misc. OSHA Courses
Other
Check all that apply.
Other, please specify.
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Do you own your own set of paint brushes?
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Yes
No
What brand do you prefer?
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Employment History
Please provide us with the name of your three most recent employers.
Employer 1 - Company Name
Employer 2 - Company Name
Employer 3 - Company Name
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