Jones Paint and Glass Employment Application

Date*

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
Upload Resume or Documents
Legal Name*

Last

Middle

First
Maiden Name (if applicable)
Other Name(s) used
Present Address

Street

City

State / Province / Region

ZIP / Postal Code
Former Address if less than 5 years at present address or if you lived in another state. Attach sheet if more space is needed.

Street

City

State / Province / Region

ZIP / Postal Code
Phone No.
Mobile
Referred by:
Are you 18 years of age or older:
- Yes
- No
List any friends or relatives working for JPG
Have you been convicted of a felony or crime punishable by imprisonment?
- Yes
- No
(Conviction will not necessarily disqualify you for the position for which you are applying) If yes explain:
EMPLOYMENT DESIRED
Position*
Select PositionResidential Window InstallationCommercial Window InstallationRetail paint SalesWindow FabricatingAutomotive Glass InstallationRetail Glass SalesCommercial Project Manager / EstimatorOutside Sales PaintOutside Sales Glass Glass / Window / Shower doorsShipping / ReceivingCustomer ServiceWarehouse
Location*
Select LocationProvoAmerican ForkRooseveltCedar CitySt. GeorgeVernal
Date You Can Start

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
Salary Desired
Are you available to work
- Full-Time
- Part-Time
- Shift Work
- Temporary Only
- Summer Only
- Other
Explain:
Have you ever been employed by JPG?
- Yes
- No
Location:
Position:
Have you ever applied to JPG before?
- Yes
- No
Location:
Date

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
Are you employed now?
- Yes
- No
Can you work all production shifts if the job requires it?
- Yes
- No
If yes, may we contact your current employer ?
- Yes
- No
Can you work all days of the week if the job requires it ?
- Yes
- No
Are you currently on layoff status and subject to recall ?
- Yes
- No
Do you have a reliable means of transportation to get to work?
- Yes
- No
Would you be available for occasional travel?
- Yes
- No
Do you have a valid drivers licence?
- Yes
- No
MILITARY DATA
Branch
Dates of Duty:
Rank at discharge:
What were your duties? (Include special training and duty station)

Leave blank if not applicable
EDUCATION
HIGH SCHOOL
NAME & ADDRESS OF SCHOOL
HOW MANY YEARS ATTENDED
GRADUATED?
- Yes
- No
COURSE OR MAJOR
COLLEGE (undergraduate)
NAME & ADDRESS OF SCHOOL
HOW MANY YEARS ATTENDED
GRADUATED?
- Yes
- No
COURSE OR MAJOR
COLLEGE (graduate))
NAME & ADDRESS OF SCHOOL
HOW MANY YEARS ATTENDED
GRADUATED?
- Yes
- No
COURSE OR MAJOR
BUSINESS / TRADE
NAME & ADDRESS OF SCHOOL
HOW MANY YEARS ATTENDED
GRADUATED?
- Yes
- No
COURSE OR MAJOR
OTHER
NAME & ADDRESS OF SCHOOL
HOW MANY YEARS ATTENDED
GRADUATED?
- Yes
- No
COURSE OR MAJOR
Describe any apprenticeship training or specialized skills you may have:
List professional, trade, business or civic organizations you are affiliated with:
List hobbies, sports, and extra-curricular activities you are or have been involved with:
EMPLOYMENT HISTORY
List in order, most current or present employer first. Must list all employers for at least the last three years.
START DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
FINISH DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
EMPLOYER’S NAME, ADDRESS AND TELEPHONE NUMBER
LAST POSITION HELD
START RATE OF PAY
FINISH RATE OF PAY
SUPERVISOR’S NAME & TITLE
REASON FOR LEAVING
Briefly Describe Your Role
START DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
FINISH DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
EMPLOYER’S NAME, ADDRESS AND TELEPHONE NUMBER
LAST POSITION HELD
START RATE OF PAY
FINISH RATE OF PAY
SUPERVISOR’S NAME & TITLE
REASON FOR LEAVING
Briefly Describe Your Role
START DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
FINISH DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
EMPLOYER’S NAME, ADDRESS AND TELEPHONE NUMBER
LAST POSITION HELD
START RATE OF PAY
FINISH RATE OF PAY
SUPERVISOR’S NAME & TITLE
REASON FOR LEAVING
Briefly Describe Your Role
Untitled
Describe any experience, skills, and qualifications that qualify you for a position at Jones Paint and Glass
Describe the nature of special accommodations you require, if any, in order to perform the essential function of the position for which you are applying.
EXPERIENCE AND QUALIFICATIONS FOR DRIVERS

All applicants for any type of driving position must provide their Motor Vehicle
Report for the previous 3 years with their application.
DRIVING EXPERIENCE
TYPE OF EQUIPMENT

(C.M.V. , TRACTOR/TRAILER, VAN, TANK, FLAT, ETC.)
FROM

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
TO

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
APPROX. NO. OF MILES (TOTAL)
TYPE OF EQUIPMENT

(C.M.V. , TRACTOR/TRAILER, VAN, TANK, FLAT, ETC.)
FROM

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
TO

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
APPROX. NO. OF MILES (TOTAL)
TYPE OF EQUIPMENT

(C.M.V. , TRACTOR/TRAILER, VAN, TANK, FLAT, ETC.)
FROM

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
TO

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
APPROX. NO. OF MILES (TOTAL)
ACCIDENT RECORD FOR PAST 3 YEARS OR MORE

(ATTACH SHEET IF MORE SPACE IS NEEDED)
DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
NATURE OF ACCIDENT

(HEAD-ON, REAR-END, UPSET, ETC.)
FATALITIES
INJURIES
DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
NATURE OF ACCIDENT

(HEAD-ON, REAR-END, UPSET, ETC.)
FATALITIES
INJURIES
DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
NATURE OF ACCIDENT

(HEAD-ON, REAR-END, UPSET, ETC.)
FATALITIES
INJURIES
TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS – NO PARKING VIOLATIONS
LOCATION
DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
CHARGE
PENALTY
LOCATION
DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
CHARGE
PENALTY
LOCATION
DATE

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
CHARGE
PENALTY
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
- Yes
- No
Has any license, permit or privilege ever been suspended or revoked?
- Yes
- No
Authorization
Signature
Date

Month123456789101112

Day12345678910111213141516171819202122232425262728293031

Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
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Employment

Jones Paint and Glass Employment Application

EMPLOYMENT DESIRED

MILITARY DATA

EDUCATION

EMPLOYMENT HISTORY

EXPERIENCE AND QUALIFICATIONS FOR DRIVERS

ACCIDENT RECORD FOR PAST 3 YEARS OR MORE

TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS – NO PARKING VIOLATIONS

Authorization

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