* Name
SSN#:
Address:
City:
State:
Zip code:
* E-mail Address:
Phone Number:
Fax Number:
Driver's License:
Yes
No
License Number:
State:
Have you ever been convicted of a crime?
Yes
No
If yes, please explain:
What position are you applying for?
Salary required:
How were you referred to Ingham Painting?
Education
High School:
Graduated:
Yes
No
Technical School:
Graduated:
Yes
No
College:
Graduated:
Yes
No
Previous Employment
List your current or most recent employment first. Include work related internships, military and volunteer work.
Current Employer:
City and State:
Telephone:
Supervisor:
Your Position:
Dates of Employment (Month and Year):
Previous Employer:
City and State:
Telephone:
Supervisor:
Your Position:
Dates of Employment (Month and Year):
Previous Employer:
City and State:
Telephone:
Supervisor:
Your Position:
Dates of Employment (Month and Year):
What do you see yourself doing in 3 years?
Verification
Birthdate (needed for investigation)
Typing your name here shall be considered as your signature
Skill Assessment
Are you presently working?
Yes
No
Have you had much spray experience?
Yes
No
Can you reglaze windows?
Yes
No
Can you move a 32 foot ladder?
Yes
No
Can you tape sheetrock?
Yes
No
Have you ever sanded floors with a floor sander?
Yes
No
Have you ever worked with power sanders?
Yes
Makita Sanders
Porter Cable DA Sanders
Have you been in a situation when you had to manage people?
Yes
No
Do you want to be in a position to manage others?
Yes
No
What do you like to do the most in the painting field?
What is your strongest asset as a painter?
What is your least favorite task in the painting field?
What do you like to do when you are not working?
How long does it take you to paint a window 6 over 6?
How long does it take you to paint a window 12 over 12?
How long does it take you to reglaze an average 6 over 6 window?
How much square footage of siding can you paint in a hour?
What would you like to know more about in the painting field?
What can you contribute to Ingham Painting?
Employee compensation is based on:
■ Product knowledge
■ Technical knowledge
■ Productivity
■ Willingness and capability to manage others
Wage increases are based upon an increase in knowledge, productivity or the ability to manage others.
What are you going to do to work toward a pay increase?
Disclosure and Authorization for Background Investigation
As an applicant for employment with Ingham Painting, Inc., I hereby authorize Ingham Painting, Inc., to conduct a background check of my personal history. I understand that this includes personal financial status and credit history, criminal conviction records (including pending trials), driving records, and references obtained from professional and personal associates.
I understand that I can receive a free copy of any investigative report about me and that if I am denied employment, either wholly or party because of information contained in the report, Ingham Painting will inform me.
I hereby fully release Ingham Painting, Inc., and its employees, directors, agents, successors assigns, and all other parties involved in conducting this background investigation, including but not limited to Ingham Painting, Inc., and those companies or individuals who provide information to Ingham Painting, Inc., concerning me, from any claims or actions for any liability whatsoever related to the process or results of a thorough investigation of my background.
I also certify that all representation made by me and all information provided to Ingham Painting, Inc., are true to the best of my knowledge. I understand that misrepresentation of facts and providing false information will exclude me from further considerations as an application and may result in termination of my employment with Ingham Painting, Inc., if I am hired before discovery of the misrepresentation.
I understand that this Authorization and Release is not an offer for employment by Ingham Painting, Inc., nor a contract for employment.
