Employment Application

Employment Interests
Position(s) desired?
Potential Start Date
MM slash DD slash YYYY
Salary Desired
What job related skills do you possess for the position(s) you are applying for:
- Painting (Brush, Roll, Spraying)
- Water Jetting
- Use of QA Equipment for Surface Prep
- Use of Powertools for Surface Preparation
- Abrasive Blasting
- Non-Skid Application
Check All That Apply
Other Skills
Can you and are you willing to work overtime when necessary?
Can you and are you willing to work Weekends (Saturday & Sunday) when necessary?
Can you and are you able to travel out of the local area?
Are you willing to relocate?
Were you previously employed by UHP PROJECTS, INC.?
Why Did You Leave?

Miscellaneous Information
Have you been convicted of a Felony within the last ten (10) years?
If Yes, Please Explain
Other than minor traffic offences, have you been convicted of a Misdemeanor within the last five (5) years? :
Have you ever used Illegal Drugs and/or Alcohol while working?
Do you have any physical disabilities or physical limitations that will exclude you from performing any work for which you are being considered?
Have you ever been involved in a job site accident that resulted in an injury to yourself or someone else?
If yes, please explain
Are you afraid of heights and unable to work at various above ground levels?

Employement History (Staring With Most Recent)
*Please include any jobs that are relevent to the position(s) for which you are applying.
Employer
From
To
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor
May We Contact This Person For A Reference
- Yes
- No
Job Title/Position
Starting Salary
Ending Salary
Duties and Responsibilities
Reason for leaving
Section Break
Employer
From
To
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Supervisor
May We Contact This Person For A Reference
- Yes
- No
Job Title/Position
Starting Salary
Ending Salary
Duties and Responsibilities
Reason for leaving
Section Break
Employer
From
To
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Supervisor
May We Contact This Person For A Reference
- Yes
- No
Job Title/Position
Starting Salary
Ending Salary
Duties and Responsibilities
Reason for leaving

Employment Interests