APPLICATION FORM
We are only hiring individuals with valid driver's license issued in the United States.
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First Name
*
Last Name
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
*
The hiring package will be sent to this e-mail address
Languages Spoken
*
English
Spanish
Other
What position are you applying for?
*
Production
Touch-Up
Do you have a driver's license/driving privilege?
No
Yes, from a country outside the United States
Yes, from the United States
Please select the following as they apply to you
I have my own transportation
I am willing to submit to a drug test
Check the box if you are you able to perform these duties?
*
Walking up flights of stair with 50-60lb
Wearing a respirator for several hours a day
lifting 50-60lb continuously
Do you have any painting experience?
*
Yes
No
If Yes, how much experience?
How did you hear about us?
*
Facebook
Instagram
A Friend
KSL
Other
Who referred you? ( First & Last Name)
Referral Program compensates $300.00
Phone Number of Who Referred you
Referral Program compensates $300.00
Have you worked for this company before?
*
Yes
No
If Yes, when?
Most Recent Employer - Company Name
*
Company Phone
Your Position
Wage Earned
Date Worked From (mm/yyyy)
Date Worked To (mm/yyyy)
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