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.?
Have you ever worked in an automotive shop?
JOB INTEREST
Position applying for
Salary required
Type of employment desired (check all that apply)
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?
Do you have any moving/traffic violations?
If yes to either question above, please give date of conviction and explain
Resume

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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.
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APPLICATION FOR EMPLOYMENT

GENERAL INFORMATION

JOB INTEREST

Employment History Information

Additional Information