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First Name:
Last Name:
Address:
City, State, Zip:
Daytime Phone:
Home Phone:
Driver's License
Other Phone
Email Address:
Referred by:

Employment Data:

Position Applying for:
Date you can start work:	//
Desired Salary:
Are you currently employed?	YesNo
If so, may we inquire of your previous employer?	YesNo
Have you ever applied at this company before?	YesNON/A
If so, where:
If so, when:

Education:

	Name/Location of School	Major:	Year Completed:	Graduate?	Degree or Diploma:
Grammar:
High School
College:
Business/ Trade:
Other:
	Branch:	Rank:	Year Discharged
US Military:

Job History (Most Recent):

Company		Phone:
Address		Employed from to
Supervisor		*Salary:
* Job Title /Position
Duties:
Reason for leaving:

Job History (Previously):

Company		Phone:
Address		Employed from to
Supervisor		Salary:
Job Title /Position
Duties:
Reason for leaving:

Skills:

ManagementPainterSalesPaint PrepAccountingMetal/Body/workEstimatingFrame workParts Inventory/ControlMechanicalComputerAlignment:
Are you state licensed for collision repair?	YesNo
Have you attended I-CAR training?	YesNo
Do you have ASE Certification?	YesNo
Job related skills or special study:
Why are you seeking a position with us at this time?
Other comments:

References:

Name	Address	Phone	Business	Years Known

All prospective employees will receive consideration without
discrimination because of race, creed, color, sex, age, national
origin, handicap, or veteran status.