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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.

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