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Select ONE Trade

*

Drywall Finisher
Glazier
Painter
Sign & Display

Application Information

Full Name:*

First Middle Last

DOB:*

Address:*

Street Address Apartment/Unit# City State Zip Code

Phone:*

Email:*

General Information

Do you have a High School Diploma/GED*

Yes
No

Name of High School/GED:

CITY/STATE

Will you agree to undergo a drug screen*

Yes
No

Will you authorize a background check*

Yes
No

Do you have a VALID Driver's License*

Yes
No

Do you have a reliable vehicle to commute to work*

Yes
No

Previous Employment

Company

Years Employed:

Job Duties:

Job Title:

Personnel Record Information

CHOOSE YOUR ANSWER

Ethnicity:

African American
Caucasian
Hispanic
American Indian/Alaskan Native
Asian or Pacific Islander

Veteran:

Yes
No

Sex:

Male
Female

Disclaimer and Signature

I certify that my answers are true and complete to the best of my Knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I agree to the Disclaimer*

Yes

Signature - Type your Name

Date:

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Painters & Allied Trades Disctrict Council 6

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