Personal Data |
Employment page >> |
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Name: |
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Position: |
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Email: |
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Address: |
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City: |
State:
Zip:
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| Telephone: |
Cell:
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Home:
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Other:
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Cell:
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home:
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Other:
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| Drivers License Number:
State:
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Do you have adequate transportation to and from work?
Yes
No
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Have you been cited for a traffic violation of any kind within the last FIVE years?
Yes
No
If yes, please give date(s) and detail(s):
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How did you hear about us?:
Details:
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Education |
| College |
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School Name:
Years Attended:
Degree:
Course of Study or Major:
Did you graduate? Yes
No
If yes, what year:
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| High School |
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School Name:
Did you graduate? Yes
No
If yes, what year:
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GED: Yes
No
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Other: |
Please list any hobbies or
extracurricular activities:
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Record of Previous Employment |
List below, the names of your previous employers in chronological order with present
to last employer listed first. Please provide the name and phone number for each supervisor or manager. |
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Present or last employer (1) |
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Name: |
(name of company) |
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Supervisor: |
(name of supervisor or manager) |
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Phone: |
(Including area code) |
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Your Title or Position:
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Reason for leaving:
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Please indicate how much you were paid and if your were paid hourly, weekly, monthly,
flat rate, annual, yearly, etc. i.e. $9.50/hour, $500.00/week, $2,000/month. |
| Salary: |
Starting pay:
Ending Pay:
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| Employed: |
From:
To:
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Prior employer (2) |
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Name: |
(name of company) |
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Supervisor: |
(name of supervisor or manager) |
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Phone: |
(Including area code) |
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Your Title or Position:
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| | Reason for leaving:
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Please indicate how much you were paid and if your were paid hourly, weekly, monthly,
flat rate, annual, yearly, etc. i.e. $9.50/hour, $500.00/week, $2,000/month. |
| Salary: | Starting pay:
Ending Pay:
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| Dates: |
Employed From:
To:
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Prior employer (3) |
| Name: |
(name of company) |
| Supervisor: |
(name of supervisor or manager) |
| Phone: |
(Including area code) |
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Your Title or Position:
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Reason for leaving:
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Please indicate how much you were paid and if your were paid hourly, weekly, monthly,
flat rate, annual, yearly, etc. i.e. $9.50/hour, $500.00/week, $2,000/month. |
| Salary: |
Starting pay:
Ending Pay:
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| Dates: |
Employed From:
To:
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Prior employer (4) |
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Name: |
(name of company) |
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Supervisor: |
(name of supervisor or manager) |
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Phone: |
(Including area code) |
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Your Title or Position:
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Reason for leaving:
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Please indicate how much you were paid and if your were paid hourly, weekly, monthly,
flat rate, annual, yearly, etc. i.e. $9.50/hour, $500.00/week, $2,000/month. |
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Salary: |
Starting pay:
Ending Pay:
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Dates: |
Employed From:
To:
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Prior employer (5) |
| Name: |
(name of company) |
| Supervisor: |
(name of supervisor or manager) |
| Phone: |
(Including area code) |
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Your Title or Position:
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Reason for leaving:
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Please indicate how much you were paid and if your were paid hourly, weekly, monthly,
flat rate, annual, yearly, etc. i.e. $9.50/hour, $500.00/week, $2,000/month. |
| Salary: |
Starting pay:
Ending Pay:
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| Dates: |
Employed From:
To:
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References |
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Please list references of supervisors or people that you worked for. |
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Additional Information |
Have you ever been terminated or asked to resign from any job? Yes
No
If yes, please explain the circumstances:
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Please explain any gaps in your employment history:
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May we contact your most recent employer?
Yes
No
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Have you ever pled guilty or "no contest" to, or been convicted of a misdemeanor or felony?
Yes
No
If yes, please give details and dates of each:
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| Date: |
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| Reason: |
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| Date: |
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| Reason: |
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Have you been arrested for any matter for which you are out on bail or on your own
recognizance pending trial?
Yes
No
If so, please provide date and details below:
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| Date: |
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| Details: |
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Experience |
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Please indicate the actual work experience you have in any of the following areas
or positions.
Check all that apply : |
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Remarks or Special Qualifications:
Please to not cut and paste your resume in the space provided below.
Rather, email it to crash@marshallautobody.com ane make a note that you applied on-line.
Thank you! |
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By submission, I hereby state that all the information provided on this application is
true and correct and that my signature will be required at the time of an interview. If
hired,
I will provide my Social Security number to finalize employment qualifications. |
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