Employment Application

Date

Last Name

First Name

Address

Cell Number

Home Number

Drivers License

Ever Convicted of a Felony?

If yes, please explain.

Have You Previously Applied with Mclain's?

If Yes, When?

What Position Are You Applying For?

How Did You Find Out About Us?

If Referred, Please Give Name

What Do You Like About Painting?

Why Do You Want To Work for McLain's?

Highest Level of Education

Do You Have a High School Diploma?

Current Employer

Supervisor Name and Title

Supervisor Contact Number

Your Position

Reason for Leaving

Salary: Please note per hour, week or month

Dates of Employment

May We Contact This Employer?

Previous Employer

Supervisors Name and Title

Supervisors Contact Number

Your Position Title

Reason for Leaving?

Salary Amount

Dates Employed

Can We Contact This Employer?

Additional Employer

Supervisor Title and Name

Supervisors Contact Information

Your Title

Reasons for Leaving

Salary

Employed Dates

Can We Contact Employer?

Professional Reference 1-Name, Number and Relationship

Professional Reference 2-Name, Number and Relationship

Professional Reference 3-Name, Number and Relationship

In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquiries may be made on me including previous employers, schools, consumer credit, criminal convictions, motor vehicle and other reports. These reports will include information as to my character, work habits, performance, education, compensation and experience along with reasons for termination of employment from previous employers. Furthermore, I understand that the company may be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil and other experiences as well as claims involving me in the files of insurance companies. I authorize without reservation, any party or agency contacted to furnish the above mentioned information and release all parties involved from liability and responsibility for doing so. I hereby consent to obtaining the above information from McLain's Painting and/or any of their agents. This authorization and consent shall be valid in original, fax, digital or copy form. All applications will be kept on file for ninety (90) days.

In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquiries may be made on me including previous employers, schools, consumer credit, criminal convictions, motor vehicle and other reports. These reports will include information as to my character, work habits, performance, education, compensation and experience along with reasons for termination of employment from previous employers. Furthermore, I understand that the company may be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil and other experiences as well as claims involving me in the files of insurance companies. I authorize without reservation, any party or agency contacted to furnish the above mentioned information and release all parties involved from liability and responsibility for doing so. I hereby consent to obtaining the above information from McLain's Painting and/or any of their agents. This authorization and consent shall be valid in original, fax, digital or copy form. All applications will be kept on file for ninety (90) days.

Release Initials

All hiring and employment at McLain's Painting is at will. I understand this application is not an employment contract, nor can it be used to create one. Employment by McLain's Painting has no specific term and may be terminated by the employee or McLain's Painting with or without notice. I acknowledge that McLain's Painting has not made any promises or representations that differ from those contained in this paragraph. I understand I must provide satisfactory documents to establish my identity and right to work in the United States, if i am offered a position with McLain's Painting, and that failure to provide this evidence will result in termination of my employment. I release and agree to hold harmless any individual, company, business, institution or government agency from all liability with regard to furnishing information to McLain's Painting. I agree to release and hold harmless McLain's Painting from all liability with respect to the receipt of such information. I certify that the information I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be withdrawn or my subsequent employment with McLain's Painting may be terminated.

All hiring and employment at McLain's Painting is at will. I understand this application is not an employment contract, nor can it be used to create one. Employment by McLain's Painting has no specific term and may be terminated by the employee or McLain's Painting with or without notice. I acknowledge that McLain's Painting has not made any promises or representations that differ from those contained in this paragraph. I understand I must provide satisfactory documents to establish my identity and right to work in the United States, if i am offered a position with McLain's Painting, and that failure to provide this evidence will result in termination of my employment. I release and agree to hold harmless any individual, company, business, institution or government agency from all liability with regard to furnishing information to McLain's Painting. I agree to release and hold harmless McLain's Painting from all liability with respect to the receipt of such information. I certify that the information I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be withdrawn or my subsequent employment with McLain's Painting may be terminated.

Applicant Signature and Date

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