Chris Luckett Painting - chrisluckett@bellsouth.net         (615) 556-2388
Application for Employment
 
 
Part 1: Personal Information
 
Date
Name
Street Address
City, State, Zip
Telephone Number
Date you can start
Desired starting salary
Will you be able to show proof of eligibility to work in the U.S. if hired?
Yes
No
Are you 18 years of age or older?
Yes
No
Do you have a vaild driver's license
Yes
No
Do you have reliable transportation?
Yes
No
Are you willing to work overtime?
Yes
No
Are you presently employed?
Yes
No
Would you be willing to submit to drug and/or alcohol testing?
Yes
No
Have you ever been convicted of a felony? (Answering yes does not necessarily disqualify you for a position. Please give clear details below if needed.)
Yes
No
If yes, please describe.
Did you graduate high school?
Yes
No
If no, do you have a GED?
Yes
No
Not applicable
 
 
Part 2: Employment History (Start with most recent employer first.)
 
Your Name
Company Name
Contact Person
Telephone
Position
Responsibilities
Start date-End date
Reason for leaving
Ending Wage
May we contact?
Yes
No
Company Name
Contact Person
Telephone
Position
Responsibilities
Start date-End date
Reason for leaving
Ending Wage
May we contact?
Yes
No
In addition to your work history, are there any other skills, qualifications, or experience that we should consider?

Part 3: Skills Assessment
 
Rate your experience and skill level of the following tasks.  
 
  • Choose 0 for no skill. 
  • Choose 1 for little skill. 
  • Choose 2 for average skill. 
  • Choose 3 for excellent skill.
 
Your Name
Masking, tape and hand masker
Minor filling (putty, spackle)
Caulking
Drywall work (mud, taping, skim coating, etc.)
Carpentry Work
Applying coatings with a roller
Applying coatings with a brush
Applying coatings with a hvlp sprayer
Applying coatings with an airless sprayer
Spraying an interior
Spraying an exterior
Are you comfortable on ladders and with heights?
Yes
No
Do you have basic hand tools?
Yes
No