LaPorte Painting Inc.

Application For Employment

We at Laporte Painting are dedicated to the goal of doing it right the first time. With this goal in mind, we are always looking to have experienced as well as new people join our team. We are proud of our team and hope you would like to become a part of it. Please remember that this application is only a preliminary application, and you might be required to fill out another if you are called in for an appointment. Application are considered without regard to race, color, religion, sex, nationality, origin, age, marital or veteran status or the presence of a non-job related medical condition or handicap. Please answer all questions honestly.

LaPorte Painting, Inc. has teamed up with Drug Free Pennsylvania as our
commitment to provide our employees with a Safe and Healthy Workplace.

Pre-employment Drug Testing is a component to our Policy

Personal Information:

Name:

Street Address:

City:

State:

Zip Code:

Phone Number:

Cell Number:

Email Address:

Are You Over the Age of 18:

Do You Have ReliableTransportation:

Employment History:
[Please List Last Three Employers Starting with Most Recent]

Last Employer:

Contact Person:

Start Date:

End Date:

Phone Number:

May we contact:

Reason for Leaving:

Previous Employer:

Contact Person:

Start Date:

End Date:

Phone Number:

May We Contact:

Reason for Leaving:

Previous Employer:

Contact Person:

Start Date:

End Date:

Phone Number:

May We Contact:

Reason for Leaving:

Please List Type and Amount of Experience: