Employment Application | PaintSmith

Employment Application

Seattle

Yakima

Step 1 of 3

33%

Employment Application

Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.

Job Location

Date

Job Type

Full Time Part Time Temporary

Referral source

Name

Date of Birth

Business Name

Entity

Street Address

Phone

City, State, Zip

SSN

Emergency Contact

Phone

Relationship

Have you ever been convicted of or charged with a felony or a misdemeanor?

Yes No

Have you, or any person or entity you have been associated with, filed for bankruptcy, been declared bankrupt or insolvent or been the subject of any receivership proceedings within the last seven years?

Yes No

If yes, please explain details in full, including date(s), places, amounts involved and disposition

Schools and Colleges Attended

#Years

Year Grad

Degree

Schools and Colleges Attended

#Years

Year Grad

Degree