Employment Current Openings: Facility Maintenance/Shop Manager Sign Laborers Parking Lot Laborers Road Laborers CDL Road Truck Driver APPLY HERE! Employee Application Employee Application Your name * Phone * Email * Street Address City/State/Zip How many years at this address? Who referred you to our company? Have you applied to our company before? Yes No If yes, when? (month/year) Are you of 18 years of age? Yes No Do you have reliable transportation to and from work? Yes No Desired wage? If you are offered a position, When would you be available to begin work? Are you legally eligible to work in the United States? Yes No Are you able to perform the essential functions of the job position with or without reasonable accommodations? Yes No What reasonable accommodations, if any, would you require? Have you ever been convicted of a crime, including traffic violations? Yes No If yes please describe THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT. Please list any skills that you feel maybe useful for the job Applicants Employment History #1 Employer Phone Employer Address Date of employment Job duties Rate of Pay Reason for leaving Applicants Employment History #2 Employer Phone Employer Address Date of employment Job duties Rate of Pay Reason for leaving What year did you graduate? Do you have a highschool diploma or GED Yes No Please list any 2 people who would be willing to provide a reference for you. * Phone Number of years known Reference #2 Phone Number of years known Please provide any information that you feel maybe helpful or that should be considered: Certification: I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application , or if employment commences, immediate termination. (Please check ) I authorize RW Striping to contact current and former employers for verification purposes. I DO NOT authorize RW Striping to contact current and former employers for verification purposes. Check captcha before submitting If you are human, leave this field blank. Submit