TMI Coatings, Inc. – Industrial Painting Contractors, Restoration Contractors


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Employment Application

If you are applying for an office position and are offered employment, the offer will be contingent on favorable reference and background checks, and passing a pre-employment physical and a drug test. If you are applying for a position as a painter, sandblaster or coatings applicator, before filling out this application, please note: 1. We do not hire anyone who is unwilling to work out of town. 2. You must be willing to work at elevated heights. 3. YOU MUST HAVE A VALID DRIVER’S LICENSE. (a class A license will be required shortly after employment.) 4. If you are offered employment, the offer will be contingent on your passing a pre-employment physical and drug test.

*Name :
*Address :
*City :
*State :
*Zip Code :
*Phone :
Alternate Phone
*Email Address :
*Position Applying For :

1. Have you ever worked under another name?		Yes No If yes, please supply name:
2. How were you referred to TMI?
3. Are you acquainted with any current employees of TMI Coatings?		Yes No
4. Are you employed now?		Yes No If yes, please supply name:
5. Why do you wish to leave?
6. May we check your references with this employer?		Yes No
7. Are you legally able to work in the United States?		Yes No
8. Will you be able to provide your own transportation to work?		Yes No
9. Driving Information (for those where driving is an essential job duty)		State: Class A License: YesNo
10. What special qualifications do you have?
11. What office machines and/or field construction equipment can you operate?
12. What pay do you expect?		Hourly:$ Weekly:$ Monthly:$ Annually:$
13. Have you ever been convicted of a felony, plead guilty to a felony or pled "no contest" to a felony?		Yes No
14. Education

Grammar School

Name
City/State
Did you Graduate?	Yes No

High School

Name
City/State
Did you Graduate?	Yes No

College/University

Name
City/State
Major:
Did you Graduate?	Yes No

Vocational School

Name
City/State
Major:
Did you Graduate?	Yes No

15. Experience

1.	Employer
	Address
	City/State
	Phone
	Time Period	From: To:
	Type of Work
	Salary	$ /year
	Supervisor
	Reason for Leaving

2.	Employer
	Address
	City/State
	Phone
	Time Period	From: To:
	Type of Work
	Salary	$ /year
	Supervisor
	Reason for Leaving

3.	Employer
	Address
	City/State
	Phone
	Time Period	From: To:
	Type of Work
	Salary	$ /year
	Supervisor
	Reason for Leaving

16. References – include only individuals familiar with your work ability

1.	Company Name:
	Contact:
	Phone Number:
2.	Company Name:
	Contact:
	Phone Number:
3.	Company Name:
	Contact:
	Phone Number:

I certify that the information furnished in this application and any documents is true and complete to the best of my knowledge and belief. I understand that any false information, omission or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize my previous employers, schools, credit-reporting agencies, and other persons named in this application to give any information they may have regarding me, whether or not it is on their records. I hereby release said employers, schools, credit reporting agencies, or persons from all liability for damage resulting from this information.

I understand that any offer of employment is conditioned upon my being able to produce evidence of my right to work in compliance with federal immigration laws and upon meeting the physical or mental requirements of the job. I agree that if I am employed, my employment shall not be construed as being for any definite period, but will be for an indefinite period, terminable at will, with or without cause, by Company or me.

Your initials here are equivalent to a signature. Applicant signature *