Job Application

Name *
Name
Last Name, First Name, Middle Initial
Current Address *
Current Address
Date of Birth *
Date of Birth
Cell Phone *
Cell Phone
History
* A conviction record will not necessarily be a bar to employment. Factors such as the nature and gravity on the offense, the time that has passed since conviction and/or completion of the sentence and the nature of the job sought will be taken into account. *Any offer of employment is subject to the results of a background check. Submission of application and acceptance of a provisional job offer signify applicant’s willingness to undergo a background check.
Transportation and Availability
When would you be available to begin? *
When would you be available to begin?
Work History
Please list employers in chronological order beginning with your current or most recent employer
Employer's Phone Number *
Employer's Phone Number
Hire Date *
Hire Date
End Date *
End Date
Employer's Phone Number
Employer's Phone Number
Hire Date
Hire Date
End Date
End Date
Employer's Phone Number
Employer's Phone Number
Hire Date
Hire Date
End Date
End Date
Education
Name, City, and State
Trade, Undergraduate, Graduate: Name and Date
If employed by Maxson Painting I understand that as part of your procedures for processing my application, an investigative report about my background may be made. Upon written request, I can obtain further information about the nature and scope of this inquiry. I understand that employment with Maxson Painting is contingent upon several factors, including satisfactory information from a background and reference check. I authorize Maxson Painting, to verify all the information supplied in this application and to contact any references listed. I also authorize all persons or entities in this application to give Maxson Painting any information regarding me. I hereby release Maxson Painting, its agents and all persons or entities listed in this application from all liability for any damage that may result from seeking or furnishing such information. I verify that the statements made in this application are true and correct to the best of my knowledge and I understand and agree that any false statements, omissions or misrepresentations will be sufficient basis for my disqualification for employment or termination of employment, no matter when the misrepresentation is discovered. IF I AM EMPLOYED, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT THE OPTION OF THE FIRM OR MYSELF, AND NO SUPERVISOR OR MANAGER OR REPRESENTATIVE OF GORDON, HUGHES AND BANKS, LLP, OTHER THAN A MANAGING PARTNER HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING. BY SUBMITTING THIS FORM I AGREE THAT I HAVE READ, UNDERSTAND AND AGREE WITH THE ABOVE Maxson Painting is an Equal Opportunity Employer