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Please fill out all applicable information.

Name E-mail Address
  Telephone No.
Present Address
  From   To
Previous Address
  From   To
Have you ever been convicted of a crime excluding misdemeanors and traffic violations?     Yes | No
If yes, give details of each conviction.
Position Desired
Salary Required
Available Date
Have you worked here before? Yes | No
If yes, when and position held
Who should be notified in case of emergency ?  
Name
Address
Telephone No.
Is he/she a family member? YES | NO
DO YOU HAVE A VALID DRIVERS LICENSE? YES | NO
STATE
LICENSE NUMBER
It may be necessary to obtain a copy of your driving record as a condition of employment.
Do we have your permission to do so if necessary?    
YES | NO

RECORD OF PREVIOUS EMPLOYMENT  
NAME AND ADDRESS OF PREVIOUS EMPLOYER
GIVE MONTH AND YEAR FROM | TO
TOTAL LENGTH OF SERVICE
KIND OF WORK
REASON FOR LEAVING
NAME AND ADDRESS OF PREVIOUS EMPLOYER
GIVE MONTH AND YEAR FROM | TO
TOTAL LENGTH OF SERVICE
KIND OF WORK
REASON FOR LEAVING
NAME AND ADDRESS OF PREVIOUS EMPLOYER
GIVE MONTH AND YEAR FROM | TO
TOTAL LENGTH OF SERVICE
KIND OF WORK
REASON FOR LEAVING
Are you presently employed? YES | NO
If yes, may we contact your present employer? YES | NO
Also, explain any gaps in your employment history

SHOW ACTUAL EXPERIENCE BY CHECKING THE FOLLOWING:
  Body Mechanic Bookkeeper
  Car Washer Cashier
  Chauffeur Clerk
  Computer Operator Dynamometer
  Electrician Gen. Garage Worker
  Helper Janitor
  Lubrication Mechanic Mechanic Helper
  Messenger Motorcycle
  New Vehicle Salesperson Office Manager
  Painter Pans Clerk
  Parts Manager Polisher
  Porter Radio
  Receptionist Sales Manager
  Secretary-Steno Service Dispatcher
  Service Manager Service Writer
  Shop Supervisor Trimmer (Upholsterer)
  Vehicle Salesperson Typist
  Used Vehicle Salesperson  

PERSONAL REFERENCES
Give people who know you well - Not previous employers or relatives
Name
Occupation
Address
(Street, City and State)
No. of Years This Person Has Known You
Name
Occupation
Address
(Street, City and State)
No. of Years This Person Has Known You
Name
Occupation
Address
(Street, City and State)
No. of Years This Person Has Known You

 


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