Online
Employment Application
If you are
responding to an advertisement for potential employment or were
directed here by someone in our office, you are at the right place.
Please be careful to fill
out this online form as completely as you can and click submit
button once to send the information to us.
Personal Information:
Position:
First Name:
Last Name:
Middle Initial:
Address:
City:
State:
Zip Code:
Home Phone:
Other Phone:
Date of Birth:
Email Address:
Education:
Certifcations:
How many years as a mechanic?
Salary Desired?
Approximate value of tools?
Employment status desired?
Full Time
Part Time
Temporary
Are you legally eligible for
employment in the United States?
Yes
Have you ever been convicted of a felony or misdemeanor?
no
yes If yes, when?
Driving Questions:
Have you ever been arrested for DUI /
DWI?
no
yes
If yes, when?
Has you license ever been suspended or revoked?
no
yes If yes, when?
Employment History:
Please give us your last ten (10) years of employment history.
Include additional information in comments section if needed.
Failure to list employers contact information may cause delays in
processing.
Present or Last Employer:
Dates of Employment from:
to
Employer:
Job Title:
Full Time
Part Time
Duties:
Starting Pay:
Ending Pay:
Reason for Leaving:
Contact Person:
Phone Number:
May We Contact?
no
yes
Comments:
Past Employer:
Dates of Employment from:
to
Employer:
Job Title:
Full Time
Part Time
Duties:
Starting Pay:
Ending Pay:
Reason for Leaving:
Contact Person:
Phone Number:
May We Contact?
no
yes
Comments:
Past Employer:
Dates of Employment from:
to
Employer:
Job Title:
Full Time
Part Time
Duties:
Starting Pay:
Ending Pay:
Reason for Leaving:
Contact Person:
Phone Number:
May We Contact?
no
yes
Comments:
Additional Information or Comments
Legal
Acknowledgement of Applicant:
By Checking This Box
I agree and understand that any
misrepresentation of information given on this form shall be
considered an act of falsification. I agree and understand that
Jays Auto Service or their agents may investigate any and all
information given on this form to determine its validity.
This certifies that this application
was completed by me, and that all entries on it and information in
it are true and complete to the best of my knowledge.
Today's Date
(month / day / year):
/
/
Digital
Signature:
By typing your name here, you are
electronically signing this application and agree that it is
legally binding.
or