Employment Application

Qualified applicants receive equal consideration. No question is asked for the purpose of excluding any applicant due to race, creed, color, national origin, religion, age, sex, handicap, veteran status, marital status, sexual orientation, or any other characteristic protected by law. We are an equal opportunity employer.

The field descriptions in RED text are required.

First Name		Last Name
Address
City		State
Zip		Phone
Email
Desired Position
If Other

Employment History

Please list chronologically, beginning with your most recent employer.

1) Employer		Address
City		State
From (MM/YYYY)		To (MM/YYYY)
Supervisor		Phone
Salary
Type of Work
Reason for Leaving

2) Employer		Address
City		State
From (MM/YYYY)		To (MM/YYYY)
Supervisor		Phone
Salary
Type of Work
Reason for Leaving

3) Employer		Address
City		State
From (MM/YYYY)		To (MM/YYYY)
Supervisor		Phone
Salary
Type of Work
Reason for Leaving

Education

School Name, City, State	Last Year Completed	Major Course	Diploma/Degree
High School
College/University
College/University
Business or Trade School

Personal Information

Are you legally authorized to work in the U.S.? (If hired, proof of work authorization will be required.)
Are you at least 18 years of age?
Briefly describe skills that you have acquired in other employment or armed forces.
Have you ever been convicted of a felony crime?
If yes, give details. (Convictions are not automatic bar to employment.)
Please list any office machines or equipment that you operate proficiently.
Please list any plant machines or equipment that you operate proficiently.
Do you have any other skills you wish to mention?
Are you presently employed?
If so, may we contact your present employer?
If hired, when would you be available?

Employment References

List individuals familiar with your job qualifications (No relatives or personal friends).

1) Name of Reference		Occupation
Address		City
State		Zip
Phone		Relationship
How long known

2) Name of Reference		Occupation
Address		City
State		Zip
Phone		Relationship
How long known

Invitation to Identify for Affirmative Action Purposes

Northern Arizona Painting, Inc. is committed to the employment and advancement of minorities, females, and individuals with disabilities and veterans. If you fall into one of these protected classifications, you might want to identify yourself and receive coverage under our company's Affirmative Action Plan. You may inform us of your desire to benefit under the program at this time and/or any time in the future. Providing this information is voluntary.

Gender	Male	Female
Race/Ethnic Group
How were you referred to this job?

Please read carefully before submitting your application

All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information, I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.

Regardless of whether or not I become employed by the company, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company's unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the company, and then only by means of a signed written document. We have a policy of no smoking on the premises.

Check this box to certify that you have read and accept the above statement.