Online Employment Form

EMPLOYMENT FORM

Fields marked with an * are required

APPLICATION DATE *

POSITION DESIRED *

AVAILABILITY *

PART TIME
FULL TIME

LAST NAME *

FIRST NAME *

MIDDLE NAME *

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ADDRESS

STREET & NUMBER *

CITY *

STATE *

ZIP CODE *

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HOW LONG HAVE YOU LIVED THERE?

YEARS *

MONTHS *

TELEPHONE NUMBER *

PERSONAL EMAIL *

DATE AVAILABLE *

SSN *

DESIRED SALARY *

ARE YOU A CITIZEN OF THE UNITED STATES *

IF NO, ARE YOU AUTHORIZED TO WORK IN THE UNITED STATES? *

HAVE YOU EVER WORKED FOR DAVIS PAINT AND COLLISION? *

IF YES, WHEN? *

HAVE YOU EVER PLED GUILTY OR "NO CONTEST" OR BEEN CONVICTED OF A MISDEMEANOR OR FELONY? *

IF YES, PLEASE GIVE THE DATES AND DETAILS

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RECORD OF PREVIOUS EMPLOYMENT

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PLEASE LIST THE NAMES OF YOUR PREENT OR PREVIOUS EMPLOYERS IN CHRONOLOGICAL ORDER WITH THE PRESENT OR LAST EMPLOYER LISTED FIRST. BE SURE TO ACCOUNT FOR ALL PERIODS OF TIME INCLUDING MILITARY SERVICE AND ANY PERIOD OF UNEMPLOYMENT. IF SELF EMPLOYED, GIVE FIRM NAME AND SUPPLY BUSINESS REFERENCES. REQUEST ADDITIONAL PAGES IF NECESSARY.

PRESENT OR LAST EMPLOYER *

ADDRESS *

TELEPHONE *

CITY *

STATE *

ZIP CODE *

EMPLOYED FROM *

EMPLOYED TO *

START PAY *

FINAL PAY *

YOUR TITLE OR POSITION *

NAME/TITLE OF LAST SUPERVISOR *

EXACT REASON FOR LEAVING

PREVIOUS EMPLOYER

ADDRESS

TELEPHONE Copy *

CITY

STATE

ZIP CODE

EMPLOYED FROM

EMPLOYED TO

START PAY *

FINAL PAY *

YOUR TITLE OR POSITION *

NAME/TITLE OR LAST SUPERVISOR *

EXACT REASON FOR LEAVING

PREVIOUS EMPLOYER

ADDRESS

TELEPHONE

CITY

STATE

ZIP CODE

EMPLOYED FROM

EMPLOYED TO

START PAY *

FINAL PAY *

YOUR TITLE OR POSITION *

NAME/TITLE OR LAST SUPERVISOR *

EXACT REASON FOR LEAVING

PREVIOUS EMPLOYER

ADDRESS

PHONE

CITY

STATE

ZIP CODE

EMPLOYED FROM

EMPLOYED TO

START PAY

FINAL PAY

YOUR TITLE OR POSITION *

NAME/TITLE OF LAST SUPERVISOR *

EXACT REASON FOR LEAVING

PREVIOUS EMPLOYER

ADDRESS

TELEPHONE

CITY

STATE

ZIP CODE

PLEASE EXPLAIN ANY GAPS IN YOUR EMPLOYMENT HITORY

MAY WE CONTACT YOUR PREVIOUS EMPLOYERS *

IF NO, PLEASE EXPLAIN

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

HAVE YOU EVER USED ANOTHER NAME

IS ANY ADDITIONAL INFORMATION RELATIVE TO CHANGE OF NAME, USE OF AN 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?

ID #1

ID #2

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

ISSUING STATE

LICENSE NO

EXPIRATION DATE

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

IF YES, PLEASE EXPLAIN

DO YOU HAVE TRANSPORTATION TO AND FROM WORK?

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

HAVE YOUR WAGES BEEN GARNISHED IN THE LAST 9 MONTHS?

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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

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