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 construction, inc.

Employment Application

1400 Brook Road, Richmond, VA 23220

804-788-9011

wwnash.com

Applicant Information

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    Do you speak fluent English?*
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    Hourly Rate Requested *
    Are you a citizen of the United States?*
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    If no, are you authorized to work in the U.S.?*
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    (Proof of Citizenship or Immigration status required upon employment)

    Have you ever worked for this company?*
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          Start Date or Date Available *
          Do you have reliable transportaion to work?
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          Before 6:00am?
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          Do you have a valid driver's license?
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          Type of License:
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          If not, can you get one?
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          How Soon?
          Are you available to work out of town for extended periods of time?
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          Are you available to work night?
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          Are you available to work weekends?
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          Are you able to work more than 8 hours per day?
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          MOre information

          Have you been convicted of any crime in the past 7 years? (A conviction(s) will not necessarily disqualify an applicant from employment*
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          If yes, explain?
          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.*
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           Please list and all conditions you are aware of:
          Have you ever been injured on the job?*
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           If yes, please give details of the incident(s):
          Have you ever used or worn a respirator?*
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           If so, in what capacity?

          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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