Digital - Employment Application - Digital
Name | Address | Contact Information
first name
last name
date
street
city
state
zip
phone
alternate phone
email address:
Desired Employment
date you can start
position
are you at least
19 years old
are you currently
employed
may we contact your
current employer
applying
for
have you ever been convited of and/or pled no contest to a felony?
yes
no
yes
no
yes
no
full time
part time
yes
no
Employment History
date from - date to
employer 1
address
phone
reason for leaving
title
salary
date from - date to
employer 2
address
phone
reason for leaving
title
salary
date from - date to
employer 3
address
phone
reason for leaving
title
salary
References
reference 1
address
phone
reference 2
address
phone
Physical Record
Do you have any physical disabilities that prevent you from performing the work for which you are applying?
Additional Areas Of Expertise
List any special training, studies or activities related to the position you are applying for.
Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
are you available to work holidays
do you have reliable transportation
year, make and model
yes
no
yes
no
have you ever applied to this company before
are you currently employed
would you be willing to submit to a drug test
do you have cash
handling experience
yes
no
yes
no
yes
no
yes
no
are you ASE Certified
rate of pay desired
You can attach your resume here
yes
no
Past mechanical work experience
By submitting this digital application web form I certify that the facts contained on this digital application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the information. This will also include past driving records / history on file with insurance companies and/or the Arizona Motor Vehicle Department.
I understand and agree that my employment is for definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice.
enter your full name = your digital signature
date
By submitting this form you agree to give B & C Auto Body permission to contact you at the phone, fax, and/or email address provided. You must be at least 18 years of age to complete this form. Your email address, fax, and telephone number will be kept confidential and not provided to 3rd parties. For your security the session IP used to submit this form is recorded.
what was your starting and ending pay / salary
what was your starting and ending pay / salary
what was your starting and ending pay / salary
Date of birth
Social Security Number
Drivers Lic. # and State of Issuance
