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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 SchoolMajor:Year Completed:Graduate?Degree or Diploma:
    Grammar:    
    High School  
    College:

    Business/
    Trade:
    Other:
     Branch: Rank:Year Discharged  
    US Military:  


    Job History (Most Recent):

    CompanyPhone:
    AddressEmployed from  to  
    Supervisor*Salary:  
    * Job  Title
      /Position
     
    Duties:
    Reason for
    leaving:



    Job History (Previously):

    CompanyPhone:    
    AddressEmployed from  to 
    SupervisorSalary:  

    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:

    NameAddressPhoneBusinessYears
    Known

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