Applicant Name

Address

City, State and Zip Code

Email Address

Telephone Number

Personal Information:
Are you a U.S. Citizen or approved to work in the United States?:
YesNo

What document can you provide as proof of citizenship or legal status?

Job Skills/Qualifications:
Please list below the skills and qualifications you possess for the position in which you are applying:

Education and Training
High School:
Location (City, State):
Year Graduated:

College/University:
Location (City, State):
Year Graduated:

Vocational/Specialized Training:
Location (City, State):
Year Graduated:

Previous Employment:

Employer:
Job Title:
Supervisor's Name:
Employers Address:
Employers Telephone Number:
Dates Employed:
Reason for Leaving:

Employer:
Job Title:
Supervisor's Name:
Employers Address:
Employers Telephone Number:
Dates Employed:
Reason for Leaving:

Employer:
Job Title:
Supervisor's Name:
Employers Address:
Employers Telephone Number:
Dates Employed:
Reason for Leaving:

AT-WILL-EMPLOYMENT

The relationship between you and Southwest Professional Painting LLC is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the owner of Southwest Professional Painting LLC. No representative of Southwest Professional Painting LLC has the authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will,” and by submitting this application electronically you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement sign by you and the 
Owner of Southwest Professional Painting LLC.

Applicant Signature:

Date: