1

Minute Men
Painting & Make Ready
Application
Various Federal, State and local laws prohibit discrimination based on race, color,
sex, religion, national origin, ancestry, age, disability or marital status. Minute Men is an
equal opportunity employer and your response to any question will not be used as a basis
for discrimination, but will be judged on its releance to the position you are see!ing. "f
you are hired, be prepared to proide any documents deemed necessary by the owner.
Personal Information
Full Name: ______________________________________________
Home Address: __________________________________________
City & ip Code:__________________________________________
Home P!one: ____________________________________________
"econd P!one: __________________________________________
Are you older t!an age #$% &es' No
(o you !a)e a (ri)er*s +icense or
a "tate Issued I(% &es' No

If yes, -!at is your I(.+icense
num/er% ____________________
(o you !a)e a Hig! "c!ool (iploma
or a 01(% &es' No
#
Are you a 2eteran% &es' No
Ha)e you /een con)icted of a felony
in t!e last fi)e years% 3$t Minute Men, the
coniction of a felony does not automatically
disqualify you from employment.4 &es' No
If yes, Please ela/orate: ____________________
________________________________________________________
________________________________________________________
________________________________________________________
Are you allo-ed to -ork in t!e 5"% &es' No
(o you !a)e any pro/lems standing
for long periods of time, or carrying
e6uipment t!at can /e #7 l/s or
more, not e8ceeding 97 l/s% &es' No
If offered a position,
-!en can you report for -ork% ____________________
%
"kills
&lease rate yourself in the following s!ills related to the occupation by placing a
chec!mar!, ', or initials under your s!ill leel(
No
18perienc
e
"ome
18perienc
e
"killed 18pert
Residential Painting:
18terior
Residential Painting:
Interior
Commercial
Painting:18terior
Commercial
Painting:Interior
;rus! and Roll
Cutting in -it! a
;rus!
"anding, "craping,
Prepping
Airless "praying
Carpentry 3-ood
replacing4
(ry-all Hanging
(ry-all Repair
3taping, patc!ing4
Paper Hanging
3<allpaper4
Fau8 Finis!ing
Replace.Repairs to:
-indo-s, latc!es,
screens, !inges
Replace.Repairs to:
sliding glass doors,
s!el)es,
/ase/oards, mirrors,
closets
18terior Repairs to
sinks, /at!tu/s, and
toilets
No "ome "killed 18pert
)
18perienc
e
18perienc
e
Repair.Replace:
Faucet "ink Plugs
Replace <as!ers
18terior Repairs to
sinks, tu/s, and
toilets
Repair.Replace:
curtains, /linds,
ceiling fans
Minor
Repair.Replace:
;at!room =iles
C!ange A.C Filter
>perate Carpet
Cleaning 16uipment
*
Miscellaneous
Part #: =o/acco, Alco!ol, and ot!er (rug 5se
$t Minute Men, the use of drugs does not automatically disqualify you from
employment.
(o you currently use =o/acco% &es' No
If yes, in -!at form% ____________________
If yes and you smoke, in a
-ork s!ift, !o- many smoke
/reaks -ould you need% ____________________
(o you currently use Alco!ol% &es' No
If yes, place a c!eckmark, ?, or initials in t!e /o8 ne8t to t!e amount
in t!e first column and t!e usage in t!e second column@ >nly one rate
per column@
>ne drink
=-o drinks ma8imum
Four drinks ma8imum
"i8 drinks ma8imum
More t!an si8 drinks
Four times a mont! or less
>nce a -eek
=-ice a -eek
=!ree times a -eek
Almost daily or more
(o you currently use any ot!er
su/stance% &es' No
If yes, -!at do you use% _______________________________
________________________________________________________
+
________________________________________________________
Miscellaneous
Part A: Buestionnaire
<ould you rat!er -ork from
CAM to DPM or from #7AM to EPM% ____________________
<ould you consider
yourself more accurate, or more
organiFed% ____________________
In a group setting -!ere you
don*t kno- anyone, -ould you
rat!er tell a story, listen to a
story, or do /ot!% ____________________
>n your -ay to see a popular
mo)ie, you see a stranded motorist
-!o needs !elp@ &ou -ill /e late if
you stop@ <!at do you do% ____________________
<!ile t!e o-ner and c!ief operations
officer3C>>4 are out, you offer a
co:-orker a suggestion, and t!e
co:-orker /ecomes rude@ "oon
enoug! t!e co:-orker /ecomes
)er/ally !ostile@ <!at do
you do% 3circle only one4
Insult t!e co:-orker rig!t /ack@
<alk a-ay, go /ack to -ork@
Inform t!e o-ner or C>>@
,
<ork 18perience
+ist at t!e minimum, t-o professional references -!o are former
super)isors@
References
+ist at t!e minimum, one personal reference -!o is not a relati)e@
In case of accident or illness please contact:
Name: __________________________________________________
Num/er: ________________________________________________
Relations!ip to you: ______________________________________
Name of
;usiness
Address of ;usiness
Name of
"uper)isor
Contact Num/er
Name Contact Num/er Relations!ip to
&ou
Mont!s Gno-n
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