Personal Information_______________________________________

 
Full Name: * 

 
Address:    

 
City:    State:    Zip:

 
Phone:*        Cell Phone: 

 
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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

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 Flag Rate Hourly Salary      : 

 
Date Available:    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

Tell us about yourself in the "Self Write Up" area below:
 
 

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