EMPLOYMENT – Scott's Complete Car Care

APPLICANT INFORMATION

Last Name*

First Name*

Todays Date*

Street Address*

Apartment/Unit #

City, State, Zip*

E-Mail Address*

Phone number

Date available*

Desired Salary*

Position Applying for*

Are you a citizen of the United States?*

YES

NO

If no, are you authorized to work in the U.S.?

YES

NO

Have you ever worked for Scott's Car Care?*

YES

NO

If yes, when?

Have you ever been convicted of a felony?*

YES

NO

If yes, explain

EDUCATION

High school attended*

Address of high school*

Attended dates from - to*

Did you graduate high school?*

YES

NO

High school degree received?

College attended

Address of college

Attended college dates from - to

Did you graduate college

YES

NO

College degree received?

Other school attended

Address of other school

Attended other school dates from - to

Did you graduate other school?

YES

NO

Other school degree received?

REFERENCES

First reference full name*

Relationship to first reference*

First reference company*

First reference phone*

First reference address*

Second reference full name*

Relationship to second reference*

Second reference company*

Second reference phone*

Second reference address*

Third reference full name*

Relationship to third reference*

Third reference company*

Third reference phone*

Third reference address*

PREVIOUS EMPLOYMENT

1. Previous employment company

1. Company phone

1. Company address

1. Company supervisor

1. Job title

1. Starting Salary $

1. Ending Salary $

1. Responsibilities

1. Dates from - to

1. Reason for leaving

1. May we contact your previous supervisor for a reference?

YES

NO

2. Previous employment company

2. Company phone

2. Company address

2. Company supervisor

2. Job title

2. Starting Salary $

2. Ending Salary $

2. Responsibilities

2. Reason for leaving

2. Dates from - to

2. May we contact your previous supervisor for a reference?

YES

NO

3. Previous employment company

3. Company phone

3. Company address

3. Company supervisor

3. Job title

3. Starting Salary $

3. Ending Salary $

3. Responsibilities

3. Reason for leaving

3. Dates from - to

3. May we contact your previous supervisor for a reference?

YES

NO

MILITARY SERVICE

Have you served in the military?

YES

NO

Branch of service

Rank at discharge

Type of discharge

If other than honorable, explain

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

By checking yes, you confirm this statement.

YES

NO

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