Auto Body and Collision Repair Service

How were you referred to us?*

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone Number*

Mobile/Other

18 Years Or Older*

Income Expectations Annually

Date You Can Start*

Have you worked here before

Yes
No

If YES, When*

Are you a citizen of the United States?

Yes
No

If NO, are you legally allowed?

Yes
No

Type of employment desired

Full-Time
Part-Time
Temporary
Seasonal

Ever been convicted of a Felony?

Yes
No

If YES, give dates/details*

Answering "yes" to this questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.

Summarize Your Special Skills or Qualifications

ATTACH YOUR RESUME

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AUTHORIZATION

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information giving in my application or interviews(s) may result in discharge.

Untitled*