Careers - Empress Painting

Application For Employment

* Position:		* Date:
* Name:		* BirthDate:
* Address:
* Phone Number:		* Drivers License Y/N:
* Cell Number:		Class Vehicle Model:
* Email Address:		* Time in Victoria:
Criminal Record:
Health:allergies, medications, past injuries

Qualifications and Assets:(list in terms of days, months or years)

	Y/N	How long		Y/N	How long
New construction painting			Industrial painting
Residential painting -Interior			Commercial painting -Interior
Residential painting -Exterior			Commercial painting -Exterior
Heritage painting -Interior			Swing stage experience
Heritage painting -Exterior			Scaffold experience
Airless spray experience			Personal lift experience
HVLP experience			Extension ladder experience
Pressure washing			Boson Chair experience
Sandblasting			Plastering
Drywall taping			Boarding
Texturing
Wall covering hanging
Painters, T.Q Ticket
WHMIS			First Aid. Level
Other

Tools and Equipment:

basic hand tools for painting	work vehicle
all tools for painting	other trades tools
painter's whites	work shoes(steel toe)

Availability:

part-time/full-time	days
seasonal / year round	weekends
	evenings

Employment History:(list most recent first)

Employer's Name:
Address:		Phone #:
Position:		Duties:
How long were you there?:		Reason for leaving:
May we contact employer? Y/N:

Employer's Name:
Address:		Phone #:
Position:		Duties:
How long were you there?:		Reason for leaving:
May we contact employer? Y/N:

Employer's Name:
Address:		Phone #:
Position:		Duties:
How long were you there?:		Reason for leaving:
May we contact employer? Y/N:

References:

Name	Phone #	Relationship
1)
2)
3)

Wage desired:

Wage agreed:

Attach Resume/Cover Letter: