Employment Application Personal InformationName(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Phone(Required)Are you legally eligible to work in the US?(Required) Yes No NOTE: A CORI form will be required later on in the application process.PositionPosition you are applying for(Required) Available start date(Required) MM slash DD slash YYYY Desired Pay(Required)Employment desired(Required) Full time Part time EducationDo you have a high school diploma?(Required) Yes No What electrical license do you have?(Required) Master Journeyman I don't have a license yet If you are applying for an apprentice position, how many classroom hours do you have toward your electrical license? Employment HistoryEmployer 1Employer Information(Required)Employer(1)Job titleStart Date(Required) Month Day Year End Date(Leave blank if this is your current employer.) Month Day Year Work PhoneAre you still working there? If not, reason for leaving?(Required)AnswerEmployer Address(Required)AddressCityStateZipEmployer 2Employer(2)Job titleStart Date Month Day Year End Date(Leave blank if this is your current employer.) Month Day Year Work PhoneReason for leavingAnswerEmployer AddressAddressCityStateZipEmployer 3Employer(3)Job titleStart Date Month Day Year End Date(Leave blank if this is your current employer.) Month Day Year Work PhoneReason for leavingAnswerEmployer AddressAddressCityStateZipUpload Resume and Cover Letter (Optional)You may upload your files in Word or PDF format.Upload Cover LetterAccepted file types: pdf, doc, docx, Max. file size: 50 MB.Please attach your cover letter in Word or PDF format here.Upload ResumeAccepted file types: pdf, doc, docx, Max. file size: 50 MB.Please attach your resume in Word or PDF format here.Signature DisclaimerI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated. SignatureName(Required) Date(Required) MM slash DD slash YYYY Applicant WaiverI certify that the information contained in this application is correct to the best of my knowledge and understand that falsification of this information is grounds for refusal to hire or, if hired, dismissal. I authorize any of the persons or organizations referenced in this application to give you any and all information, unless otherwise specified on the application, concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application and release all such parties from all liability for any damage that may result from furnishing such information to you. I authorize you to request and receive such information. In consideration for employment and my being considered for employment by Startline Painting, Inc., I agree to conform to the rules and regulations of Startline Painting, Inc. and acknowledge that these rules and regulations may be changed, interpreted, withdrawn, or added to by Startline Painting, Inc. at any time. I further acknowledge that employment at Startline Painting, Inc. (“the Company”) is employment at-will. Employment at-will may be terminated at the will of either me or the Company. Employment may be terminated with or without cause at any time by me or by the Company. Terms and conditions of employment with the Company may be modified at the sole discretion of the Company with or without cause and with or without notice. I acknowledge that I have been advised that this application will become inactive after 90 days from the date it was completed. To be considered for employment after that time, completion of a new application is necessary.Signature of Applicant(Required)Name(Required) Date(Required) MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Startline Painting Owner Paul Sonnett says, "Sonnett's On It!" Call for a quote: 508-889-2748