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Wiring Harnesses, Accessories, & Parts for GM Restoration, Modified Restoration & Custom Street Rod
APPLICANT INFORMATION
Last Name
First Name
M.I.
Street Address
Apartment/Unit #
City/State
ZIP
Phone
E-mail Address
Date Available
Desired Salary
Position Applied 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 this company? YES
NO
If yes, when?
Have you ever been convicted of a felony? YES
NO
If yes, explain
Do you have any physical limitations that preclude you from performing the work you are applying for?
YES
NO
If yes, explain
EDUCATION
High School
Address
Duration
Graduate? YES
NO
Degree
College
Address
Duration
Graduate? YES
NO
Degree
Other
Address
Duration
Graduate? YES
NO
Degree
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
Duration
Reason for Leaving
May we contact your previous supervisor for a reference? YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
Duration
Reason for Leaving
May we contact your previous supervisor for a reference? YES
NO
MILITARY SERVICE
Branch
Duration
Rank at Discharge
Type of Discharge
If other than honorable, explain
DISCLAIMER
I certify that my answers are true and complete to the best of my knowledge.
I authorize investigation of all statements contained within this application. I understand that misrepresentation of facts called for in the application process is an immediate cause for dismissal. Further, I understand and agree that any employment is for no definite period of time and may, regardless of the date of payment of any wages and salary, be terminated at any time without previous notice.
I understand that my employment is terminable-at-will and that this application is not intended to be a contract for current or continued employment. American Autowire, Inc's right to discharge me is not dependent upon my conduct or job performance. Do you fully understand and accept the above statements?
YES
NO
