Application for Employment

J & J AUTO BODY, INC.

Application for Employment

An Equal Opportunity Employer

Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. Use blank paper if you do not have enough room on this application blank. PLEASE PRINT, except for your signature on the Application. All information given vnll be available only to persons who have a ‘need to know’ or as required by law. This company will make reasonable accommodation in the application process, if needed.

This application is current only for thirty (30) days. At the conclusion of which time, if you have not heard from us and still wish to be considered for employrnenc it will be necessary for you to fill out a new application.

Name
First Middle Last
Today's Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Day Time Phone Number
Evening Time Phone Number
Position applied for
When are you available for employment?
Which type of employment are you seeking?
- Full-time
- Part-time
- Temporary/Summer
Record of employment
Name of current/most recent employer
Address
Telephone
Type of business
Dates employed
From
Mo./Yr.
To
Mo./Yr.
Rate of pay
Starting
Ending
Reason for leaving
Supervisor's name and title
Lists the job you held, Duties performed, Skills used or learned, Advancements or promotion
May we contact your current employer?
- Yes
- No
Next Previous Employer
Name of previous employer
Address
Telephone
Type of business
Dates employed
From
Mo./Yr.
To
Mo./Yr.
Rate of pay
Starting
Ending
Reason for leaving
Supervisor's name and title
Lists the job you held, Duties performed, Skills used or learned, Advancements or promotion
Next Previous Employer
Name of next previous employer
Address
Telephone
Type of business
Dates employed
From
Mo./Yr.
To
Mo./Yr.
Rate of pay
Starting
Ending
Reason for leaving
Supervisor's name and title
Lists the job you held, Duties performed, Skills used or learned, Advancements or promotion
Next Previous Employer
Name of next previous employer
Address
Telephone
Type of business
Dates employed
From
Mo./Yr.
To
Mo./Yr.
Rate of pay
Starting
Ending
Reason for leaving
Supervisor's name and title
Lists the job you held, Duties performed, Skills used or learned, Advancements or promotion
Have you ever been convicted of a criminal offense?
(A conviction will not necessarily disqualify an applicant)
- Yes
- No
If yes, please explain:
Are you over 18 years of age?
- Yes
- No
Are you authorized to work in the United States?
(Federal Law requires proof of identity and employment authorization for all new employees)
- Yes
- No
Do you have a valid drivers license?
(For Driving Job Only)
- Yes
- No
License Number and State Issued in:
Education
Last year completed
High School (Mark Last Year Completed)
- 1
- 2
- 3
- 4
School name
Major subjects
College (Mark Last Year Completed)
- 1
- 2
- 3
- 4
College name
Major subjects
Other job-related education

If you are an experienced operator of any business/plant machines or equipment, please list

Other Job Related Skills

This Employment Application is used to notify me that the nature and scope of an investigation, if one is conducted, could include such general identification information as residence verification, and, as applicable, information concerning my employment, education, general reputation, character, personal characteristics, and habits, and that such information may be developed through personal interviews with third parties such as family members, neighbors, friends, associates, former employers, educational institutions, custodians of official records or other sources. Only job-related information developed from such a report will be considered in evaluating my employment application or continued employment. I hereby authorize these persons, companies, organizations or corporations to answer all questions or release any information regarding the items listed in this paragraph. I hereby release them from any liability and hold them harmless from any claim for releasing any truthful information within their knowledge and/or records.
I authorize the Company to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information concerning my work experience with the Company. I hereby release and hold the Company harmless from any claim for releasing any truthful information within its knowledge and/or records.
I certify that the answers given by me to the foregoing questions and during any interviews are true and correct without consequential omissions, and understand that, if employed, omissions and/or false statements on this application or during any interviews may result in dismissal. I understand and acknowledge that, if hired, my employment is for no definite period and either the Employer or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract. I have had an opportunity to have my questions about this statement's content and intent answered and understand its terms
Signature & Date

J & J AUTO BODY, INC.

Application for Employment

An Equal Opportunity Employer

Phone

Record of employment

Dates employed

Rate of pay

Next Previous Employer

Dates employed

Rate of pay

Next Previous Employer

Dates employed

Rate of pay

Next Previous Employer

Dates employed

Rate of pay

Education

Last year completed