w.w. NASH Companies

Fireproofing, Wall-Covering, Acoustical Solutions, Commercial Painting

1400 Brook Road // Richmond VA 23220

w.w. NASH Construction: 804-788-9122

w.w. NASH & Sons: 804-788-9011

w.w. NASH Companies

w.w. NASH & sons, inc.

Employment Application

1400 Brook Road, Richmond, VA 23220

804-788-9011

wwnash.com

Applicant Information

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    Are you a citizen of the United States?*
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    Have you ever worked for this company?*
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    If yes, when?
    If no, are you authorized to work in the U.S.?*
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    Have you ever been convicted of a felony?*
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    If yes, explain?

    Previous Employment

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          Supervisor:
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          military service

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          If other than honorable, explain:

          MOre information

          Are you available to work night?
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          Are you available to work weekends?
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          Do you have reliable transportaion to work?
          Yes
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          Do you have a valid driver's license?
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          Have you had a recent respirator physical? If so, can you provide copy of the results?
          Yes
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          Have you ever been tested for lead exposure?
          Yes
          No
          Do you have any formal training in the painting industry?
          Yes
          No
          Are you available to work out of town for extended periods of time?
          Yes
          No
          Are you able to work more than 8 hours per day?
          Yes
          No
          Do you speak fluent English?
          Yes
          No

          MOre information

          Do you have any physical, mental or other health conditions that may affect your job or compromise safety? i.e. High blood pressure, bad back, hernia, etc. If so, please explain
          Have you ever been injured on the job? If yes, please describe
          Please list any experience and certifications you have in the construction industry i.e. Aerial platform, OSHA Training, 1st Aid/CPR, etc.

          Disclaimer and signature

          I certify that my answers are true and complete to the best of my knowledge.
          If this application may lead to employment, I authorize W W Nash to perform a background check using this information.
          I understand that false or misleading information in my application or interview may result in my release.

          By checking this box and typing my name below, I am electronically signing my application.*
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