Lewis & Lewis Painting Inc. Ormond Beach,Fl.

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Employment Application

APPLICATION FOR EMPLOYMENT
PLEASE READ THIS APPLICATION THOROUGHLY AND COMPLETE IT HONESTLY
Employment is conditioned upon the successful completion of the screening process. By sending this application, I acknowledge that the information provided in this form is given voluntarily, may be used in filing reports required by state and federal governments and agencies, may be disclosed to others and used for any other purpose not prohibited by law. Lewis & Lewis Painting Inc. requires all individuals who successfully complete the initial employment screening process to submit to drug and alcohol testing during the course of their employment. The result of such (screening/testing) will be initially disclosed to the decision makers for Lewis & Lewis Painting Inc. and may be the basis for (disqualifying any candidate for employment and for) termination during employment. Lewis & Lewis Painting Inc. reserves the right to utilize this information in any way it deems necessary, such as but not limited to civil, criminal, and administrative proceedings, and may any other similar matters. By signing this application, I agree to the foregoing and further agree to hold Lewis & Lewis Painting Inc. harmless from any claims resulting from such (screening/testing) for drug and/or alcohol use.
IMPORTANT NOTICE: If you need assistance in preparing this application, please contact our office.

Lewis & Lewis Painting Inc. is an equal opportunity employer which does not discriminate on the basis of race, creed, color, ethnicity, national orientation, gender expression, age, height, weight, physical or mental ability, veteran status, military obligations or marital status

NOTE: All applicants are required to furbish proof of identity and legal work authorization in order to be considered for employment.

FIRST NAME
MIDDLE
LAST
SOCIAL
TELEPHONE
ARE YOU LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES?
- YES
- NO
DO YOU HAVE A VALID DRIVERS LICENSE?
- YES
- NO
LICENSE NUMBER:
STATE:
EXPERATION DATE:
HAVE YOU EVER BEEN CONVICTED OF OR SENTENCED FOR ANY VIOLATION OF THE LAW?
- YES
- NO
IF YES, GIVE FULL PARTICULARS. (THE EXISTENCE OF CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT):
POSITION APPLIED FOR:
ARE YOU WILLING TO WORK OVERTIME, INCLUDING WEEKENDS?
- YES
- NO
REFERRAL SOURCE:
FULL NAME MOST RECENT EMPLOYER
TELEPHONE
SALARY -
FROM/TO EMPLOYED -
STREET ADDRESS
CITY
STATE
ZIP CODE
NAME & TITLE OF SUPERVISOR
TITLE OF YOUR POSITION
DEPARTMENT
DUTIES AND A LIST OF ALL TOOLS AND EQUIPMENT YOU HAVE USED
REASON FOR LEAVING
FULL NAME OF PREVIOUS EMPLOYMENT
TELEPHONE
SALARY -
FROM/TO EMPLOYED -
STREET ADDRESS
CITY
STATE
ZIP CODE
NAME & TITLE OF SUPERVISOR
TITLE OF YOUR POSITION
DEPARTMENT
DUTIES AND A LIST OF ALL TOOLS AND EQUIPMENT YOU HAVE USED
REASON FOR LEAVING
HAVE YOU EVER BEEN SUSPENDED, PLACED ON PROBATION, ASKED TO RESIGN, DISCHARGED OR TERMINATED?
- YES
- NO
IF YES, PLEASE EXPLAIN:
US Military Service
- YES
- NO
List branch, rank attained, dates and nature of discharge?
Submit

Thank you for contacting us. We will get back to you as soon as possible

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If Employed, I agree to conform to the rules and regulations of Lewis & Lewis Painting Inc., and I understand that as a condition of my employment and continued employment, I will be required to submit to and voluntarily agree to submit to any testing for the presence of drugs or alcohol and to submit to any procedure to assess my qualifications for employment. I also agree that, if hired, LEWIS & LEWIS PAINTING INC. has the right to terminate my employment at any time with or without cause or notice, and that I have the same right to terminate my employment.

I understand that only the owners of Lewis & Lewis Painting Inc. (Jeffry Lewis Sr., Lori Lewis or Jeffry Lewis Jr.) have the authority to enter into any agreement for employment for any specified period or make an agreement contrary to the foregoing either now, in the past or the future. I further understand that even an agreement by the owner(s) must be in writing and signed by him or her for it to be binding on either myself or Lewis & Lewis Painting Inc. I further understand that this supersedes any prior written or oral understanding and bars any future oral understanding to the contrary.

I further acknowledge and agree that any dispute between me and Lewis & Lewis Painting Inc. relating to my employment and/or the separation thereof, which cannot be resolved informally, shall be resolved pursuant to the voluntary labor arbitration rules of the American Arbitration Association (AAA) in Volusia County, Florida by an impartial arbitrator, selected in accordance with such rules, as the exclusive remedy for any such dispute, including but not limited to claims of alleged discrimination. I understand that I must submit any claim to arbitration no later than three hundred sixty five (365) calendar days following that date I became aware of the conduct constituting the alleged claim. I agree to waive my right to a jury trial over any such dispute and agree that failure to timely submit any claim to arbitration shall result in a waiver of the alleged claim. I further agree to waive any and all claims not raised through this procedure. I understand that this provision does not prevent me from filing a charge or complaint of discrimination or unfair labor practices with the local, state, or federal agency.

I also acknowledge that I have read and fully understand the foregoing and seek employment under these condition of my own free will in accordance with my own judgment.

YOUR SIGNATURE WILL BE REQUIRED WHEN YOU ARE CONTACTED FOR AN INTERVIEW!

"Where Quality and Prices Meet"

Contact Us

(386) 316-5009

Lewispainting11@gmail.com

Payments Accepted

Cash, Checks, And Credit Cards

Financing Available

Hours

Mon-Fri: 8am to 8pm

Sat-Sun: closed, calls & appts. only

Proudly Servicing

Ormond Beach, FL 32174

Daytona Beach, FL

Port Orange, FL

and surrounding areas