Job Application Form

APPLICATION FOR EMPLOYMENT
GENERAL INFORMATION
Full Name*

First NameLast Name
E-mail
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Valid VA Driver's License*
VA Safety Inspector*
VA Emmissions Inspector*
ASE Certification(s)*
Certification(s)
If hired, can you furnish proof you are eligible to work in the U.S.?*

YesNo
Have you ever worked in an automotive shop?*

YesNo
JOB INTEREST
Position applying for*
Salary required*
Type of employment desired (check all that apply)*

Full-timePart-timeTemporarySummer only
Is there any time that you cannot work?
Employment History Information
Work History: Current and previous employer(s) (most current employer listed first)
Name of Employer:
City, State
Position Held
Start Date

MonthDayYear
Date Finished

MonthDayYear
Employer phone

Area CodePhone Number
Describe your duties:
Ending Salary
Reason for leaving
Supervisor name

First NameLast Name
NEXT EMPLOYER
Name of Employer:
City, State
Position Held
Start Date

MonthDayYear
Date Finished

MonthDayYear
Employer phone

Area CodePhone Number
Supervisor name

First NameLast Name
Describe your duties:
Ending Salary
Reason for leaving
Additional Information
Have you ever been convicted of a felony?*

YesNo
Do you have any moving/traffic violations?*

YesNo
If yes to either question above, please give date of conviction and explain
Resume

Upload a File

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I understand and agree that, if hired my employment is "at will" and is not for a certain period of time and may, regardless of circumstances, be terminated at any time without prior notice by the Company.

All applicants must provide a copy of their current driving record before an employment offer can be made.
Choose ONE:*

I ACCEPTI DO NOT accept
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APPLICATION FOR EMPLOYMENT

GENERAL INFORMATION

JOB INTEREST

Employment History Information

Additional Information