GARDEN CITY 
Paint and Glass 

Missoula's Glass and Paint choice.  After all we are the "Oldest, Most Reliable Locally Owned Paint and Glass Store"

 
 

Garden City Paint and Glass, Inc.
3217 Brooks Street
Missoula, MT 59801
Phone (406) 549-0608 * Fax (406) 549-0928
FILL IN ALL INFORMATION. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED FOR EMPLOYMENT. PRINT IN INK OR TYPE PREFERRED. INFORMATION MY BE PUT IN THE REMARKS SECTION WHICH YOU WILL FIND ON THE BACK PAGE
For Office Use Only:
Position Applying For: Date: A             E             P             OA
Last Name First Name Middle Name Date of Birth (optional)
Temp Address City State Zip Telephone
Permanent Address City State Zip Telephone
In case of emergency, notify: Telephone Are you at least 18 years of age?
No Yes
Address of person listed for emergency   City / State / Zip How were you referred?
Newspaper, which one?
If employed, can you provide proof of
United States Citizenship?          Yes          No Agency?
If not a United States Citizen, specify alien College Placement Office?
registration number: Friend? Other?
Do you have any physical or mental limitations which could affect your ability to perform the jobs for which you are applying? If yes, give details and accommodations required on the remarks section.          No          Yes
Location Preferred Relocation Restrictions? Travel Restrictions?
Interests
Earliest Date Available: Minimum Salary: Type of employment desired (please circle):
Full Time          Part Time          Temp
Have you ever filled an application with GCPG before? Bitmap Bitmap Bitmap Bitmap
Yes No When? Where?
Have you ever been interviewed by GCPG before? Yes No When? Where?
Have you ever worked for GCPG before? Bitmap Bitmap
Yes No When? Where?
Can you work (Circle any that apply): May we contact your present employer? Do you have any relatives employed at GCPG?
Any shift? Yes No Bitmap
Yes Bitmap
No
Overtime? Yes No Bitmap
Yes
Bitmap
No
Saturdays? Yes No Name
Sundays? Yes No Relationship
GARDEN CITY PAINT AND GLASS
IS A DRUG FREE WORKPLACE. IF YOU
USE ILLEGAL DRUGS, DO NOT APPLY.
All applicants who have experience in the following skills should complete this section (Circle all that apply)
Office: Adding Machine Keypunch Calculator Word Processing Typing WPM
PC Experience: Hardware Software Languages
Accounting: Chain Store Management Sales Delivery
Purchasing: Merchandising Advertising What Area?
Manufacturing: Machines Other Industrial Skills
Military:
Branch Grade/Rank Nature of Duty or Training Induction Date Separation
Present Selective Service Type of Discharge
Classification or Separation
Do not answer if prohibited by applicable state law
Languages:
Other than English, list any languages you speak and understand, and indicate your level of fluency in using that language to translate business
Language Read/Write/Speak Fluent/Good/Fair
References:
Do not list any relatives or family members. Provide three (3):
Full Name Occupation / Profession Mailing Address Phone Number
Activities & Organizations:
You may exclude those which indicate race, creed, sex, marital status, age, color, national origin or handicap.
Extra Curricular Activities:
You may exclude those which indicate race, creed, sex, marital status, age, color, national origin or handicap.
Conviction Record
I agree to submit a background check
Signature Date
Have you ever been convicted (including convictions now on appeal) by any law enforcement authorities for any violations. Include any convictions occurring before your 18th birthday, or traffic violations for which the only penalty imposed was a fine of $50 or less.                             Yes          No
Offense Date City/State/County Final Action
Show all employment you have held for the last 10 years, starting with the most recent first. Include periods of unemployment and military service and include reserves. Indicate number of hours per week for employment. Do not write "See Resume"
Employer & Complete Address Title / Duties Salary Reason for Leaving Time lost due to illness or injury on or off the job.
Start Date Job #1 Start No. days No. days
lost workers
End comp.
End Date Nature
Supervisor Hrs/Wk
Tel #
Start Date Job #2 Start No. days No. days
lost workers
End comp.
End Date Nature
Supervisor Hrs/Wk
Tel #
Start Date Job #3 Start No. days No. days
lost workers
End comp.
End Date Nature
Supervisor Hrs/Wk
Tel #
Start Date Job #4 Start No. days No. days
lost workers
End comp.
End Date Nature
Supervisor Hrs/Wk
Tel #
Start Date Job #5 Start No. days No. days
lost workers
End comp.
End Date Nature
Supervisor Hrs/Wk
Tel #
Start Date Job #6 Start No. days No. days
lost workers
End comp.
End Date Nature
Supervisor Hrs/Wk
Tel #
From the list of former Employers on the previous page, please answer the following questions:
Job # What did you like most about this job? What did you like least about this job?
Job #1
Job #2
Job #3
Job #4
Job #5
Job #6
Bitmap
Bitmap Bitmap
Bitmap
Bitmap
Bitmap Bitmap Bitmap Bitmap Bitmap

 

 

 

 

 

 

Terms of Employment
I, the undersigned, state that all information given by me in this application is true in the best of my knowledge. I authorize Garden City Paint & Glass (herein called the Company) to verify such information and any reference given by me should I be employed by the Company. Do not hesitate to ask for assistance if you do not understand any of these terms. I agree that:
1). My employment shall be in accordance with the terms of (A) this application, and (B) Companies regulations and any amendments thereto. The Company shall have the right to amend, modify or revoke any regulation at any time. I will familiarize myself promptly with such rules and regulations and will be bound by the rules and regulations now or hereafter in effect.
The Companies only obligation is to pay wages or salary earned by me  to date of termination. Without limitation, failure to abide by the rules and regulations, failure to pass any Company physical examination and the falsifying of information given by me in this application will entitle the Company to terminate my employment.
2).
3). I will submit to medical examination(s), including pre-employment chemical testing and screening by a physician appointed by the Company at any time(s) as the Company may request. I also agree that in the involvement in an accident or injury, I will submit to chemical testing and screening.
4). I agree that employment may be contingent upon my meeting all placement consideration, including requirements.
5). I will, during my employment, submit to chemical testing and screening when requested by the Company and will make available to law enforcement agencies all information and/or materials indicating possible possession and/or use of illegal drugs on Company property.
6). All rights, title and interest, including, without limitation, all copyright and patents, in the materials produced or inventions developed by me which affect or relate to the Company's business, I shall have no personal right, title or interest whatsoever.
7). If any injury to me or death in connection with my employment shall be subject to worker's compensation for myself, me heirs and representatives, all actions at law against the Company for damages, injury or death and agree to accept the applicable compensation award provided for by the laws of the policy for which I am stationed at the time of such injury or death.
8). I understand that this company is a tobacco free workplace.  NO tobacco is to be used on premises, nor in company vehicles, nor during working hours
9). I agree not to disclose any of the Company's trade secrets or other confidential or restricted information in any fashion during my employment or after my employment with the Company if I am terminated.
10.) I understand that employment at this company requires that you divulge any physical limitations (such as lifting, etc) as well as
any mental issues or limitations.
MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND UNDERSTOOD THE ABOVE TERMS OF EMPLOYMENT.
Dated:
Signature of applicant (in ink)
We appreciate your interest and the time you have taken to prepare this application

 

Find Our Store 

3217 Brooks Street, Missoula Montana 59808,  Phone (406) 549-0608      Fax (406) 549-0928  

 

 

WE DO NOT DO AUTO GLASS REPLACEMENT
 

Store Hours:
M-F 8am-5:30pm

Saturdays
9am-3pm

Closed Sunday

 

 Garden City Paint & Glass
 is proud to be associated with:

ccr

Missoula Chamber of Commerce Member

 

We accept: 

We are proud dealers of Pittsburgh Paint, Sikkens Wood Finishes, Jeldwen Windows, Kolbe-Kolbe Doors, Alumax Shower Doors, Bilco Scapewells, Edgetech SuperSpacer, and many more. Garden City Paint and Glass will gladly travel to you offering free estimates, and delivery in Missoula, Lolo, Florence, Stevensville, Hamilton, Darby, East Missoula, Bonner, Clinton, Phillipsburg, Deer Lodge, Seeley Lake, Arlee, St. Ignatius, Ronan, Polson, Kalispell, Whitefish, Frenchtown, Huson, Superior, St. Regis, and many of the surrounding areas.