Job application
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Print the following job applicant an fax it to 866-900-8845 Autotech4rent Employment Application | Personal Data | | Name: | Date: | | Position Applying For: | | | | Social Security Number: | | | | Address: | | | | City: | State: | Zip | | Home Phone: | Message Phone: | | Do you have a valid driver’s license? Yes o No o | License No. | Exp. Date: | | Do you have adequate transportation to and from work? Yes o No o | Have you been cited for a traffic violation of any kind within the last FIVE years? Yes o No o
If yes, please give date and details: | | Who were you referred by? | | | | | | | | | | | |
| Education | Elementary | High School | College/University | Graduate/Professional | | School Name | | | | | | Years Completed: (Circle) | 4 5 6 7 8 | 9 10 11 12 | 1 2 3 4 | 1 2 3 4 | | Diplomas or Degrees | | | | | | Describe Course of Study or Major | | | | | | Describe Specialized Training, Military Experience, Skills & Extracurricular Activities | | | | |
| Record of Previous Employment |
Please list the names of your previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service and any period of unemployment. If you were self-employed, give the business name and supply business references. Attach extra pages if necessary. | Present or Last Employer | Employed | Salary | Your Title or Position | Reason for Leaving | | | From (mo./yr.) | Start | | | | Address | | $ | | | | City, State, Zip | To (mo./yr.) | Final | Name of Last Supervisor | | | | | | | | | Telephone | | $ | | | | Previous Employer | Employed | Salary | Your Title or Position | Reason for Leaving | | | From (mo./yr.) | Start | | | | Address | | $ | | | | City, State, Zip | To (mo./yr.) | Final | Name of Last Supervisor | | | | | | | | | Telephone | | $ | | | | Previous Employer | Employed | Salary | Your Title or Position | Reason for Leaving | | | From (mo./yr.) | Start | | | | Address | | $ | | | | City, State, Zip | To (mo./yr.) | Final | Name of Last Supervisor | | | | | | | | | Telephone | | $ | | | | Previous Employer | Employed | Salary | Your Title or Position | Reason for Leaving | | | From (mo./yr.) | Start | | | | Address | | $ | | | | City, State, Zip | To (mo./yr.) | Final | Name of Last Supervisor | | | | | | | | | Telephone | | $ | | | | Previous Employer | Employed | Salary | Your Title or Position | Reason for Leaving | | | From (mo./yr.) | Start | | | | Address | | $ | | | | City, State, Zip | To (mo./yr.) | Final | Name of Last Supervisor | | | | | | | | | Telephone | | $ | | | | Previous Employer | Employed | Pay | Your Title or Position | Reason for Leaving | | | From (mo./yr.) | Start | | | | Address | | $ | | | | City, State, Zip | To (mo./yr.) | Final | Name of Last Supervisor | | | | | | | | | Telephone | | $ | | |
References List professional references who are familiar with the quality of your work, have worked directly with you, and have known you for at least two years. | Name | Occupation | Address | Telephone | Years Known | | | | | | | | | | | | | | | | | | | | | | | | |
Have you ever been terminated or asked to resign from any job? Yes o No oIf yes, explain the circumstances:________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Please explain any gaps in your employment history:________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ May we contact your most current employer? Yes o No oHave you ever pled guilty or "no contest" to, or been convicted of a misdemeanor or felony? Yes o No o
If yes, give details and dates of each:________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Have you been arrested for any matter for which you are out on bail or on your own recognizance pending trial?Yes o No o Please indicate actual work experience you have in any of the following areas or positions: | Administration__ Office Manager__ Bookkeeper__ Accounts Receivable__ Accounts Payable__ Payroll Clerk__ Warranty Clerk__ Data Entry__ Cashier |
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