• APPLICATION FOR EMPLOYMENT

    APPLICATION FOR EMPLOYMENT

  • 612W Main St Unit 2, Tilton NH 03276

    Phone: 603-286-7657 Fax: 603-286-7882 Email:info@gototsi.com

    TSI is an equal opportunity employer and all information provided on this form will be kept in the strictest confidence. Certain information (POB, DOB, SSN, Convictions, etc) is required for US Security Clearance purposes only. Thank you for your interest in working with Tri-State Painting, LLC (TSI), please review all attached policies and procedures before proceeding with this application. 

    Once Complete please upload/email the following documents over.

    Driver’s License
    Social Security Card
    Passport / Naturalization Certificate
    Any/all certifications you currently carry. Nothing expired should be submitted.
    A copy of a VOIDED Check or Bank print out verifying Direct Deposit Information.
    Tax forms: W-4, I-9, Mass M-4 Form, Maine W-4, as well as your home state tax form.

  • PERSONAL INFORMATION

  • NAME:

  • PHYSICAL ADDRESS:

  • Mailing Address (if different):

  • CELL PHONE NO:

  • EMAIL ADDRESS:

  • PLACE OF BIRTH:

  • SOCIAL SECURITY NUMBER:

  • DATE OF BIRTH:

  • Voluntary ID for Affirmative Action

    It is the policy of Tri-State Painting, LLC to take affirmative action to assure that applicants are employed and that employees are treated during employment without regard to race, color, sex, age, religion, national origin or status as a veteran. Such action shall include employment, upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation and selection for training.We are required to provide statistical information to the gender and ethnicity of applicants andemployees to the various government agencies for which we work. To help us comply with theserequirements we ask that you complete this Voluntary Identification for Affirmative Action Purposesform.This information will be used only to comply with those governmental requirements. It will bemaintained in the corporate office, separately from the Application for Employment. It will in no wayaffect your employment.Your participation is voluntary. Your decision to participate or not will have no impact on your status. 
  • Medical Result Authorization

  • State Paid Leave Acknowledgment

  • HAVE YOU EVER BEEN CONVICTED OF A FELONY?

  • UNION AFFLIATION:

  • EDUCATION

  • LIST HIGHEST LEVEL COMPLETED (GED, HS, College, etc):

    LIST SPECIAL SKILLS / CERTIFICATIONS : (C3,C5,C7,QC, NACE, etc):

    *Please Provide copies of all certifications listed.

  • MILITARY SERVICE

  • EMPLOYMENT DESIRED

  • EMPLOYMENT HISTORY

  • FORMER EMPLOYERS:

  • PHYSICAL RECORD

  • Direct Deposit Information

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  • P. O. Box 1240 Tilton, NH 03276

    Phone: 603-286-7657 Fax: 603-286-7882 www.GoToTSI.com

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