Job Application If you are human, leave this field blank. Full Name Address, city Phone Email Position Applying for: Collision Technician Painter Painter's Assistant Mechanic/Towing and Service Calls Estimator Date Available: Desired Salary: $ Are you a citizen of the U.S.? Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for this company before? Yes No Have you ever been convicted of a felony? Yes No If yes, Explain: High School: Did you graduate? Yes No If yes, the year you graduated? College: Degree: Did you graduate? Yes No If yes, the year you graduated? Other Education: Degree: Have you ever been fired or laid off from a job? Yes No If yes, Please explain? Check the skills which you have experience Meal Work Frame Work Mechanical Work Paint Prep Paint Estimating Alignment Welding Glass Fiberglass Air Conditioning Aluminium Repair Parts Inventory and Control Detail Work Computer Do you have transportation? Yes No Do you have a Driver's License? Yes No Driver's License No. and State References: Please list 2. Name, Phone Number, Relationship, Company 1. Previous Employment, Company Phone Address Job Title Responsibilites Salary $ Dates of Employment Reason for leaving Supervisor Name and May we contact your supervisor? 2. Previous employment Company Phone Address Job Title Responsibilities Salary $ Date of Employment Reason for Leaving Supervisors Name and Can we contact your supervisor? Any other information you feel we need to know: Military Service: Branch Dates of Service Rank at Discharge Type of Discharge Submit
