Jay's Painting and Pressure Cleaning, Inc. Employment Application
At Jay's Painting, Inc., we provide the highest quality service to our customers. We will only hire those that share our  commitment to providing the highest level of service. To ensure consideration, please fill in the information below as completely and accurately as possible. Asterisks (*) denote required fields. Any required field that is left blank will not allow this application to be submitted. 

Personal Information

Are you legally eligible for employment in the United States? If you are hired you are required to submit proof of your eligibility to work in the United States. *
Are you over the age of 18? *
Have you ever been convicted of a felony or a serious offense (including traffic)? *

Occupational Objective

Full Time? *
Part Time? *
Willing to work overtime? *
Willing to work weekends? *
Do you have your own reliable transportation to and from various job sites on the Peninsula? *
Do you have a valid Virginia Drivers License? *
Do you have painting experience? *
Do you have pressure cleaning experience? *
Do you have experience carrying and using ladders? *
This job requires you to be able to carry at least 75 pounds. Are you able to carry 75 pounds? *


Please list your information regarding education. Include the name of your high school, the city and state in which it is located, the number of years you completed there, and whether you graduated.
1. Name of High School:
2. City, State it is located in:
3. Number of years completed:
4. Graduate? Yes or No:
If you have other education please explain below. Include name of school, level of education you recieved, whether you are a graduate or not, and where the institution is located.

General Information

Have you ever had a Worker's Compensation Claim? *
Have you ever been charged or convicted of theft? *

Previous Employment

0/250 words
0/250 words
0/250 words
May we contact this employer for a reference? *

0/250 words
0/250 words
0/250 words
May we contact this employer for a reference? *

0/250 words
0/250 words
0/250 words
May we contact this employer for a reference? *


Name at least two references (Maximum 3) other than family to confirm the information presented on this application.

In case of emergency, notify:


Submit Here

By submitting this application, I certify that my answers are true and complete to the best of my knowledge. I authorize Jay's Painting to make such investigations and inquiries of my personal or former employment references as may be necessary for an employment decision. I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application.
In the event that I am employed, I understand that any false or misleading information given in my application or interview(s) may result in discharge from Jay's Painting and Pressure Cleaning, Inc.
I have read and agree to the terms listed above. *
Powered byFormsiteReport abuse