Employment

Personal Information

Full Name: *

Address:    

City:    State:    Zip:

Phone: *    Cell Phone: 

Email:

Employment Information__

Position Desired:  Select Position Body Technician Body Technician Helper Glass Installer Mechanic Office Coordinator Paint Technician Paint Technician Helper Production Manager Parts Manager Parts Helper Porter Service Advisor

Rate:  Select Rate Commission Flat Rate Hourly Salary : 

Date Available: 

Have you ever been employed by us before? --- Yes No   (If so, when) Date: 

Have you ever applied with us before?  --- Yes No (If so, when) Date: 

Are you under age 18?  --- Yes No

How did you hear about us?  Select Referral Source College or high school Employee referral Employment agency Job fair Newspaper article Other

* = Required