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PENINGTON PAINTING
APPLICATION FOR EMPLOYMENT
Qualified applicants receive consideration for employment without discrimination because of sex, marital status,
sexual preference, race, color, creed, national origin, age, or the presence of a non-job-related handicap.
DATE: _______________________________ SOCIAL SECURITY # _____________________________
NAME: __________________________________________________________________________________
PRESENT ADDRESS: ______________________________________________________________________
Street City State Zip
CELL PHONE # _________________________________ HOME # ______________________________
TYPE OF EMPLOYMENT DESIRED: ___________________________________________________________
__________________________________________________________________________________________
Are you a member of a Union? Yes No if yes, what Trade? ______________ Local#_____________
Have you previously worked for us? Yes No If yes, when? _____________________________________
Have you applied for work with us before? Yes No If yes, when? _______________________________
Why did you apply at Penington Painting? _______________________________________________________
Were you referred by a current Penington Painting Employee Yes No?
Which Penington Painting employee referred you __________________________________________________
Name of relatives employed at Penington Painting __________________________________________________
EDUCATIONAL BACKGROUND: (Circle last year attended) Major
High School: ______________________ 1 2 3 4 Graduated? _______ ____________________
College: __________________________ 1 2 3 4 Graduated? ______ ____________________
Other Training: ______________________________________________________________________________
(Include Apprenticeship)
Are you willing to do: High work Swing stage Confined Space
Do you have current OSHA 10-30 training Yes No SSTA Training current Yes No
Reliable transportation Yes No Other Certifications Yes No
Can you work swing shift Yes No Can you work weekends if needed Yes No
Can you work 10 hours’ days if needed Yes No Work outside of State Yes No