Job Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date
*
-
Month
-
Day
Year
Date
How were your referred to us?
Position desired?
*
Salary desired?
*
Date you can start
*
-
Month
-
Day
Year
Date
Will you work nights?
*
Yes
No
Will you work weekends?
*
Yes
No
Do you have reliable transportation, (including public transport) to get to work?
*
Yes
No
Are you a United States citizen?
*
Yes
No
Have you ever worked at a home improvement store / paint store?
*
Yes
No
If yes to the above, what store and department?
Schools Attended
Highschool
*
Did you graduate?
*
Yes
No
College
*
Did you graduate?
*
Yes
No
Other
*
Did you graduate?
*
Yes
No
Employment History
May we contact your current / most recent employer?
*
Yes
No
Company
*
Type of business
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Supervisor
*
Date started
*
-
Month
-
Day
Year
Date
Last day of work
*
-
Month
-
Day
Year
Date
Salary
Reason for leaving
*
Submit
Should be Empty: