Application - Geo’s Paint & Finish

Name *

First

Last

Date

Address *

City / State / Zip *

Phone Number *

Email *

Date Available to Start *

Desired Wage *

Are you a citizen of the United States? *

Yes
No

If no, are you authorized to work in the U.S.?

Yes
No

Have you worked for Geo’s Paint & Finish previously? *

Yes
No

If yes, when?

Education

Name of High School Attended *

High School Location *

High School Attended From (Date) and To (Date) *

Did you graduate high school? *

Yes
No

Name of College Attended

College Location

College Attended From (Date) and To (Date)

Did you graduate college?

Yes
No

If yes, what degree did you attain?

Other Education or Trade School Name

Other Education or Trade School Location

Attended Other Education or Trade School From (date) and To (date)

Did you graduate?

Yes
No

If yes, degree or certificate attained:

References

Please list three professional references.

Reference 1 Full Name *

What is your relationship to this reference? *

Company *

Phone Number *

Address *

Reference 2 Full Name *

What is your relationship to this reference? *

Company *

Phone Number *

Address *

Reference 3 Full Name *

What is your relationship to this reference? *

Company *

Phone Number *

Address *

Work History

Please start with your most recent employer.

Company Name *

Company Phone *

Company Address *

Supervisor’s Name *

Job Title *

Starting Salary $ *

Ending Salary $ *

Responsibilities *

Employed From (date) and To (date) *

Reason for leaving: *

May we contact your previous supervisor for a reference *

Yes
No

Company Name

Company Phone

Company Address

Supervisor’s Name

Job Title

Starting Salary $

Ending Salary $

Responsibilities

Employed From (date) and To (date)

Reason for leaving:

May we contact your previous supervisor for a reference

Yes
No

Company Name

Company Phone

Company Address

Supervisor’s Name

Job Title

Starting Salary $

Ending Salary $

Responsibilities

Employed From (date) and To (date)

Reason for leaving:

May we contact your previous supervisor for a reference

Yes
No

Military Service

Did you serve in the military? *

Yes
No

If yes, what branch?

Served From (date) and To (date)

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Disclaimer

By submitting this form, you understand that if this application leads to employment, false or misleading information in your application or interview may result in your release.

I certify that my answers are true and complete to the best of my knowledge. *

Yes
No

Geo’s Paint & Finish Application Form

Education

References

Work History

Military Service

Disclaimer

Geo’s Paint & Finish