Job Application Form

Items with (*) must be filled in for the form to work.

We will use your information only to contact you about a job offering. We will not sell or share this information with anyone else.

Instructions: Please answer ALL questions on the following form.

Contact Information:
  Name*
  Your Address*
  City*
  State, Zip*
  E-mail*
  Phone*

Are you eligible to work in the United States?
Yes No

Education: check all that apply.
High School College Trade School

Other, please explain:

Skills: Check all the types of work you have experience in:

Exterior Interior
Custom New Construction
Staining Custom Staining
Spraying Lacquer Spraying Flat Paint
Spraying Enamel Paint Large industrial projects

Elaborate with length of experience for each of these skills that apply:

How many total years of experience do you have?

Availability:
Full Time work
Part Time work
Are you willing to work on Saturdays if necessary?
Evenings?
Are you willing to travel out of town to work?
Do you have a dependable car?

Have you ever been a foreman or in charge of job production?
If so, what type of work?

What tools do you have?

What is the minimum hourly starting wage
you would accept?

What was your hourly rate on your last job?

Person to contact in case of emergency or accident:

Please List Your Last Three Employers.

Employment History 1:
Company
Address
Supervisor
Phone
From - To Dates
Employment History 2:
Company
Address
Supervisor
Phone
From - To Dates
Employment History 3:
Company
Address
Supervisor
Phone
From - To Dates

Other References:
Name/Title
Address
Phone

I certify that information contained in this application is true and complete.

I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Signature
Date

Bonded & Insured.

Bus. License #VANGOHP931D2

Van-Go House Painting, Inc.
6971 Birch Bay Dr.
Blaine, WA 98230

ph: 360-305-1515
fax: 360-371-5229
vangohousepainting@comcast.net