Please fill out form to apply to Genuine Car Care

Name:

Phone Number:

SSN:

Address:

City:

State:

Zip:

Employment Desired

Postition Apply for:

Applying for: Full-Time Part-Time Temporary

Availability:

Can you work weekends? Yes No

Would you be available to work overtime, if necessary? Yes No

Available to start:

Salary range desired:

Personal Information

Have you ever applied or worked for Genuine Car Care before? Yes No

If yes, when:

Do you have any friends or relatives working for Genuine Car Care? Yes No

If yes, please state name(s) and relationship(s):

Why are you applying for work at Genuine Car Care?

If hired, would you have a reliable means of transportation to and from work? Yes No

Are you at least 18 years old? Yes No

Are you a U.S. citizenship or have proof of your legal right to live and work in this country? Yes No

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? Yes No

If yes, please explain:

Are you currently employed? Yes No

If yes, may we contact your current employer? Yes No

Education, Training and Experience

High School Name and Address:

# of Years Completed:

Did you graduate? Yes No

Degree or Diploma:

College/Universtiy Name and Address:

# of Years Completed:

Did you graduate? Yes No

Degree or Diploma:

Vocational/Business Name and Address:

# of Years Completed:

Did you graduate? Yes No

Degree or Diploma:

Health Care Name and Address:

# of Years Completed:

Did you graduate? Yes No

Degree or Diploma:

List any foreign languages you can speak, understand or write:

Do you have any other experience, training, qualifications or skills which you feel make you especially suited for work at Genuine Car Care? If so, please explain.

Employment History

List below all present and past employment starting with your most recent employer (last 10 years is sufficient). Account for all periods of unemployment

Name of Employer:

Address:

Business Type:

Phone:

Supervisor's Name:

Position and Duties:

Date of Employment: From

To

Weekly Pay: Starting

Ending

Reason for Leaving:

Name of Employer:

Address:

Business Type:

Phone:

Supervisor's Name:

Position and Duties:

Date of Employment: From

To

Weekly Pay: Starting

Ending

Reason for Leaving:

Name of Employer:

Address:

Business Type:

Phone:

Supervisor's Name:

Position and Duties:

Date of Employment: From

To

Weekly Pay: Starting

Ending

Reason for Leaving:

Name of Employer:

Address:

Business Type:

Phone:

Supervisor's Name:

Position and Duties:

Date of Employment: From

To

Weekly Pay: Starting

Ending

Reason for Leaving:

References

List below three persons not related to you who have knowledge of your work performance within the last three years.

Name:

Address:

Occupation:

Phone:

Number of Years Acquainted:

Name:

Address:

Occupation:

Phone:

Number of Years Acquainted:

Name:

Address:

Occupation:

Phone:

Number of Years Acquainted:

Please enter the code below :