ONLINE APPLICATIONf2b_admin2020-05-01T13:27:52-05:00

DATE:

APPLICANT INFORMATION

POSITION DESIRED

AVAILABILITY

PART TIME FULL TIME

LAST NAME

FIRST NAME

MIDDLE NAME

CURRENT ADDRESS: STREET & NUMBER

CITY

STATE

ZIP CODE

HOW LONG HAVE YOU LIVED THERE?

YEARS

MONTHS

TELEPHONE NUMBER

PERSONAL EMAIL ADDRESS

DATE AVAILABLE

SSN #

DESIRED SALARY

ARE YOU A CITIZEN OF THE UNITED STATES?

YES NO

IF NO, ARE YOU AUTHORIZED TO WORK IN THE US?

YES NO

HAVE YOU EVER WORKED FOR PAINT AND COLLISION?

YES NO

IF YES, WHEN?

HAVE YOU EVER PLED GUILTY OR “NO CONTEST” TO OR BEEN CONVICTED BY A MISDEMEANOR OR FELONY?

YES NO

IF YES, PLEASE GIVE THE DATE (S) AND DETAILS:

RECORD OF PREVIOUS EMPLOYMENT

PLEASE EXPLAIN ANY GAPS IN YOUR EMPLOYMENT HISTORY

MAY WE CONTACT YOUR PREVIOUS EMPLOYER?

YES NO

IF NO, EXPLAIN WHY?

PLEASE INDICATE ANY ACTUAL EXPERIENCE, SPECIAL TRAINING AND QUALIFICATIONS YOU HAVE WHICH YOU FEEL ARE RELEVANT TO THE POSITION FOR WHICH YOU ARE APPLYING

HAVE YOU EVER USED ANOTHER NAME?

YES NO

IS ANY ADDITIONAL INFORMATION RELATIVE TO CHANGE OF NAME, USE OF ANY ASSUMED NAME, OR NICKNAME NECESSARY TO ENABLE A CHECK ON YOUR WORK AND EDUCATIONAL RECORD? IF YES, EXPLAIN

CAN YOU PROVIDE TWO FORMS OF ID?

YES NO

UPLOAD ID #1

UPLOAD ID #2

IF A DRIVERS LICENSE IS REQUIRED FOR THS POSITION YOU ARE APPLYING, DO YOU HAVE A VALID LICENSE?

YES NO

ISSUING STATE

LICENSE NO

EXPIRATION DATE

DO YOU HAVE ANY PHYSICAL LIMITATION THAT WOULD KEEP YOU FROM PERFORMING THE TASKS REQUIRED?

YES NO

IF YES, PLEASE EXPLAIN

DO YOU HAVE TRANSPORTATION TO AND FROM WORK?

YES NO

WOULD YOU BE WILLING TO PARTICIPATE IN TRAINING WORKSHOPS AND SEMINARS AFTER WORK HOURS OR ON WEEKENDS?

YES NO

HAVE YOUR WAGES BEEN GARNISHED IN THE LAST 9 MONTHS?

YES NO

HOW MANY DAYS OF WORK HAVE YOU MISSED IN THE LAST 3 YEARS DUE TO REASON OTHER THAN PAID HOLIDAYS AND VACATION?

YEAR

NUMBER OF DAYS

YEAR

NUMBER OF DAYS

YEAR

NUMBER OF DAYS

SIGNATURE

DATE