Personal Information_______________________________________

 
Full Name:* 

 
Address:    

 
City:    State:    Zip:

 
Phone:*       Cell Phone: 

 
Email:
 

Employment Information____________________________________

 
Position Desired:  Select Position Body Technician Body Technician Helper Glass Installer Mechanic Office Coordinator Paint Technician Paint Technician Helper Production Manager Parts Manager Parts Helper Porter Service Advisor

 
Rate:  Select Rate Commission Flat Rate Hourly Salary      : 

 
Date Available: 

 
Have you ever been employed by us before? --- Yes No    (If so, when) Date: 

 
Have you ever applied with us before?  --- Yes No   (If so, when) Date: 

 
Are you under age 18?  --- Yes No

 
How did you hear about us?  Select Referral Source College or high school Employee referral Employment agency Job fair Newspaper article Other
 

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