Date You Can Start
Hourly Rate/Salary desired
If No, why did you leave/planning to leave?
If no, were you terminated? Why?
Include your last four (4) employers, starting with the last one first here.
If yes, what size TIP did you use?
Contact personal name
Emergency contact phone #
If NO, please explain
If NO, why?
Give the last 2 school attended, including any trade schools or colleges attended.
Give the names of 3 people not related to you, whom you have known for 3+ years.
Revive Painting & Powerwashing is an equal opportunity employer and does not discriminate in employment on account of race, color, religion, national
origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or
unfavorable discharge from military service. I understand that neither the completion of this application nor any other part of my consideration for
employment establishes any obligation for Revive Painting & Powerwashing to hire me. If I am hired, I understand that either Revive Painting &
Powerwashing or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no
representative of Revive Painting & Powerwashing has the authority to make any assurance to the contrary. I attest with my signature below that I have
given to Revive Painting & Powerwashing true and complete information on this application. No requested information has been concealed. I authorize
Revive Painting & Powerwashing to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have
concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.