Name___________________________________________________________________
Address____________________________ City_________________ State__________
Zip Code_________
Home Phone________________________ Additional Phone_________________
Email_________________
Social Security #
______________________________________________
Drivers License #
______________________________________________
Date you can start:______________________________________________
Are you eligible to work in the United States?
_____________________________________________
(Must have valid documentation at time of interview)
What is the best time to reach you?
_____________________________________________________
Please mail or fax to:
Stried Painting, Inc.
888 Belvidere Road
Suite 304
Grayslake, IL 60030
Phone 847-986-3570
Fax 986-3575