Employment Application

View MSC Informational Notes
Note: Fields marked with a * require an answer. Please use "N/A" for "not applicable" if necessary. Applicants may be required to complete and sign a paper application for employment upon interview.
Attach Resume:
Applying for:

Applicant Information

*First Name:
*Last Name:
Middle Name:
Apartment/Unit #
Referred By:
Date Available:
Salary Expected:
I can work:
 Weekends    Evening    Night
U.S. Citizen:
   Yes    No
If not, are you authorized to work in the U.S.?:
 Yes     No
Languages Spoken:
*Have you ever worked for this company?:
If yes, when?:
------ To ------
*Have you ever been convicted of a felony?
(By company policy some misdemeanors may bar employment):
If yes, explain briefly:


High School:
Yes No
Yes No
Yes No


Please list three references not related to you, whom you have known at least one year.
Day Phone Numbers:
Day Phone Numbers:
Day Phone Numbers:

Employment History

Company Name:
Complete Address
(w/ City, State, Zip):
Job Title:
Starting Salary:
Ending Salary:
Start Date:
End Date:
Reason for Leaving:
May we contact your previous employer for a reference?
 Yes    No

Military Service

Start Date:
End Date:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:

Additional Questions

Trade Skills

Please check the experience level you have with the following skills. (Please answer each section even if you have no experience. This section is not required if applying for Mechanic or Project Manager positions)

Commercial - Exterior
Commercial - Interior
Brush & Roll (walls, trim, cut in, etc.)
Sanding, Scraping, & Prepping
Airless Spraying
Conventional Spraying
Jobsite Planning
Managing Others
Drywall Hanging
Drywall Finishing (taping, patching, sanding, floating)
Vinyl or Paper Hanging
Faux Finishing (taping, patching, sanding, floating)
Abrasive Blast Cleaning
Abrasive Blast Containment
Solvent Cleaning
Water Washing
Caulking (interior, exterior)
Staining (brush, wipe-on, spray-on)
Hand-tool cleaning (sandpaper, scraper, wire brush)
Power-tool cleaning (needle gun, grinder, CRD, roto-peen, air chisel, sander)
Blueprint Reading
Estimating (from blueprint "take-offs", from blueprint room measurements)
Mixing and Thinning Paint
Sealants (floors, decks)
SAFETY: Check all safety-related training courses you have completed
Do you have documentation of completion for any of the above listed trainings? *
PAINTS: Check the types of paint you have worked with before:


The following is information required in order for MARTIN SPECIALTY COATINGS to obtain a complete consumer report:

*Social Security Number:
*Date of Birth
*Drivers License Number:
*Issuing State
*DL Expiration Date:
Other or Former Names: (AKA, Maiden Names, Married Names, Surnames, Etc.)

Your signature below indicates the following:

1) You authorize, without reservation,Trak-1 or any third party to obtain and/or furnish to MARTIN SPECIALTY COATINGS any records or information referenced in the provided disclosure statement for employment related purposes;

2) You authorize ongoing procurement of any records or information, reports and records at any time during your employment to the extent allowed by law;

3) You authorize the use of a fax or photocopy of this authorization as having the same authority as the original;

4) You authorize and request, without reservation, any present or former employer, school, police department, financial institution, division of motor vehicles, consumer reporting agency, or other entity, person or agency having knowledge about you to furnish MARTIN SPECIALTY COATINGS and/or Trak-1 with any and all background information in their possession regarding you for these stated employment purposes;

5) You understand and agree that in connection with your employment your consumer report information, whether investigative or otherwise, may be shared with and/or reviewed by all applicable parties involved in the hiring process;

6) You have read and fully understand the foregoing disclosure and this authorization.

7) You certify that all the information you have provided on this form is true, complete, correct and accurate; and

8) You certify you have received, reviewed and understand the “Summary of Your Rights under the Fair Credit Reporting Act (15 U.S.C. §1681 et seq.)” which is published by the Federal Trade Commission to help you know your rights. View here

Applicant's Statement

Notification and Agreement

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer receives the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.

Do not sign until you have read the above applicant statement. I certify that I have read, fully understand and accept all terms of the forgoing Applicant Statement. *