Join Our Team - Employment Application First Name Last Name Street Address City State Zip Phone Email References Painter Experience - Check all that apply Painter 1 (Caulking & Prep) Painter 2 (Use Brush & Roll) Painter 3 (Use Sprayers) Painter 4 (More then 3 years as Painter 3) Painter 5 (More then 5 years as Painter 3) Waterproofer Experience - Check all that apply Waterproofer 1 (Calking) Waterproofer 2 (Traffic Coating) Waterproofer 3 (Bellow grade waterproofing) Waterproofer 4 (More than 3 years in type 3) Supervisor Experience - Check all that apply Supervisor 1 more than 2 years Supervisor 2 more than 5 years Office Position I have been involved in an construction accident in the last 3 years I am authorized to work in USA I have Osha 10 Hours certificate I have Osha 30 Hours certificate I have certificate for Aerial Lifts I have certificate for platforms (Scaffold) I have my personal tools for perform the work I am good following instructions I am good in relations with others I am aware of Color Factory Equal Employee Opportunity Policy I am aware of Drug Free Policy I Don't have any medical condition that prevent me from lift heavy objects I am older than 18 years of age I certify that all the information on this application is accurate and complete to the best of my knowledge and understand th at misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment. I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with 6-Star Painting creates an actual or implied contract of employment. I understand that, if I accept employment with 6-Star Painting, it will be on an at-will basis. This means that either 6-Star Painting or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I agree to submit to drug and alcohol testing, if requested by 6-Star Painting. I release 6-Star Painting, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize 6-Star Painting to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release 6-Star Painting and its employees from all liability arising from such investigation. Digital Signature Signature Date Send
