Personal Information_______________________________________

 
Full Name: * 

 
Address:    

 
City:    State:    Zip:

 
Phone:*        Cell Phone: 

 
Email:
 

Employment Information____________________________________

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

Desired income:   Select Amount $15,000-$20,000 $20,000-$25,000 $25,000-$30,000 $30,000-$35,000 $35,000-$45,000 $40,000-$50,000 $50,000-$65,000 $65,000-UP

 
Rate:  Select Rate Commission Flat Rate Hourly Salary      : 

 
Date Available:   

 
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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