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EMPLOYMENT RECORD

We shall promote and afford equal treatment and service to all employees and assure that all employees and applicants are given an equal employment opportunity without regard to race, religion, color, creed, national origin, sex, age, marital status, or the presence of any sensory, mental, or physical disability unless such disability effectively prevents the performance of the essential duties and/or functions required of the position relating to employee and/or applicant. We shall operate within the principles of Equal Employment Opportunity and Affirmative Action guidelines set forth in all Federal, State and local laws and regulations.

 

PRELIMINARY EMPLOYMENT APPLICATION

Please fill out each box. Areas in red are required.

 

General Information

Last Name
First Name
M. Initial
Address
Apt. #
City

State

Zip
Phone Number
Best time to reach you
Email Address
Select Desired Position:

Select Your Driver License Type:
Valid Private  Valid Chauffeurs  Valid CDLA  Valid CDLB

 

Employment History - Start with present or most recent employer.

Current Employer - May we contact this employer? 
Company Name Employer's Phone Number
Employer's Address
City State
Supervisor's Name Supervisor's Title
Start Date (month and year) End Date (month and year)
Position(s) Held
Type of Work Performed
Salary (Starting) Salary (Ending)

 

Employer 1 - May we contact this employer? 
Company Name Employer's Phone Number
Employer's Address
City State
Supervisor's Name Supervisor's Title
Start Date (month and year) End Date (month and year)
Position(s) Held
Type of Work Performed
Salary (Starting) Salary (Ending)

 

Employer 2 - May we contact this employer? 
Company Name Employer's Phone Number
Employer's Address
City State
Supervisor's Name Supervisor's Title
Start Date (month and year) End Date (month and year)
Position(s) Held
Type of Work Performed
Salary (Starting) Salary (Ending)

 

Employer 3 - May we contact this employer? 
Company Name Employer's Phone Number
Employer's Address
City State
Supervisor's Name Supervisor's Title
Start Date (month and year) End Date (month and year)
Position(s) Held
Type of Work Performed
Salary (Starting) Salary (Ending)

 

Education

Name & Location
of School

Major Subjects Studied

Total Years Attended

Graduated? Yes or No

Degree, Diploma or Certificate

Year Obtained

High School

 
Tech.Training

College

Other

 

Auto Technicians

Areas of Michigan Certification

Areas of ASE Certification