Name:
Phone Number:
SSN:
Address:
City:
State:
Zip:
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:
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
High School Name and Address:
# of Years Completed:
Did you graduate? Yes No
Degree or Diploma:
College/Universtiy Name and Address:
Vocational/Business Name and Address:
Health Care Name and Address:
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.
Name of Employer:
Business Type:
Phone:
Supervisor's Name:
Position and Duties:
Date of Employment: From To
Weekly Pay: Starting Ending
Reason for Leaving:
Occupation:
Number of Years Acquainted:
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