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Date of Application:___/___/___
________________/___/____________________/_____________________
FIRST NAME INITIAL LAST
NAME SOCIAL SECURITY NUMBER
_______________________________________________________________________
STREET ADDRESS
CITY STATE ZIP CODE
_______________________________________________________________________
HOME PHONE DAY PHONE MOBILE
PHONE E-MAIL ADDRESS
Have you ever been convicted of a felony? q YES
q NO If yes, please explain:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Do you have a valid New Jersey Drivers License? q YES
q NO
Are you 18 years old or over? q YES
q NO
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How were you referred to our company?
q College/Trade
School
Name:____________________________________________________
q Advertisement
q News Paper Ad
q
Radio
q Job Service
q Television Commercial
q Association
q Walk-in
q Employee
q Internet
q Caruso's Auto-Motive web site
q Other:
____________________________________________________
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Office/Management q
Receptionist
q Data
Entry
q
Estimator
q
Parts Manager
q
Production Manager
q
Glass Manager
q
Office Manager
q
General Manager |
Metal/Frame/Glass q
Metal 1 (entry level)
q
Metal 2 (mid level)
q
Metal 3 (journey level)
q
Frame Technician
q
Glass Technician
q
Combination Tech
level 2 metal/refinish skills
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Refinish/Detail q
Paint Tech 1 (entry level)
q Paint Tech 2 (prep)
q Paint Tech 3 (journey
level)
q Detail
q Porter
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Salary Desired $___________per q Hour q Week
q Month
q Year
Date available to start work?___/___/___ q Immediately
q Full
Time q Part
Time
School Name City&State Years
Completed DATE
__________________________________________________________________
HIGH SCHOOL
___________________________________________________________________________
COLLEGE
___________________________________________________________________________
TRADE SCHOOL
I-CAR
Course Date
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
Total Credits ________ |
ASE
Course Date
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
Total Credits _________ |
MANUFACTURE
Course Date
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
Total Credits _________ |
OTHER TRAINING/CERTIFICATIONS
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
If applicable to the position for which you
are applying, indicate knowledge of the following areas:
EQUIPMENT
q
Arc Welder
q Mig
Welder
q Tig
Welder
q
Resistance Welder
q
Plastic Welder
q Oxy Acetylene Welder
q
Plasma Cutter
q A/C
Re-Charge/Recycling
q Solvent
Recycler |
q
Office Computers
q
Chief Genesis
q
Computerized Measuring (other)
q
Laser Measuring
q
Mechanical Measuring System
q
Computerized Paint System
q
Hunter Computerized Alignment
q
Computerized Inventory System
q
Electronic Scan Tools |
q
Frame Rack
q
Power Post
q
Structural Equipment
q Body
Pulling Tools
q Tire Balancing Equipment
q Tire
Changing Equipment
q
Glass Replacement Tools
q
Hydraulic Lifts
q HVLP
Spray Guns |
SKILLS
q
Structural/Frame Repair
q
Electronic Frame Measurement
q Tire
Changing/Balancing
q
Celette and Car-o-Liner Frame Machines
q
Aluminum Body Repair
q
Metal Repair/Shaping
q
Major panel Replacement/Frame Rail
q
Minor Panel Replacement/Bold On
q
Plastic Application $ Shaping
q
Plastic Repair i.e. Bumpers/Trim
q
Glass Replacement |
q
Pathways Estimating
q
QuickBooks Pro
q
Software Management
q
Glasurit Paint Mixing
q
Group Wise
q
Outlook
q
Microsoft Word
q
Microsoft Excel
q
Internet Explorer
q
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OTHER SKILLS:
__________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
List your current or most recent employment first.
Include
work related internships, military and volunteer work.
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COMPANY NAME |
CITY/STATE |
PHONE # |
POSITION HELD |
DATES EMPLOYED |
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May we contact your employer? q
YES q NO Salary:
$___________per____________
Supervisor's Name and Title:
____________________________________________________
Reason for Leaving:
___________________________________________________________
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COMPANY NAME |
CITY/STATE |
PHONE # |
POSITION HELD |
DATES EMPLOYED |
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May we contact your employer? q
YES q NO Salary:
$___________per____________
Supervisor's Name and Title:
____________________________________________________
Reason for Leaving:
___________________________________________________________
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COMPANY NAME |
CITY/STATE |
PHONE # |
POSITION HELD |
DATES EMPLOYED |
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May we contact your employer? q
YES q NO Salary:
$___________per____________
Supervisor's Name and Title:
____________________________________________________
Reason for Leaving:
___________________________________________________________
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COMPANY NAME |
CITY/STATE |
PHONE # |
POSITION HELD |
DATES EMPLOYED |
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May we contact your employer? q
YES q NO Salary:
$___________per____________
Supervisor's Name and Title:
____________________________________________________
Reason for Leaving:
___________________________________________________________
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NAME |
TITLE |
COMPANY |
PHONE # |
PROFESSIONAL
RELATIONSHIP |
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I hereby authorize this company to contact any of
the companies I have listed above regarding my previous employment and the
professional references I have given.
Initials of Applicant: ___________
I understand I must provide satisfactory documents to establish my identity
and right to work in the United States if I am offered a position with this
company, and that failure to provide this evidence will result in the
termination of my employment.
I release and agree to hold harmless any individual, company, business
institution or government agency from all liability with regard to
furnishing information to this company. I agree to release and hold
harmless this company from all liability with respect to the receipt of such
information.
I certify that the information I have furnished on this application form
is true and complete. I understand that if any misrepresentation has been
made by me verbally or in writing, any offer of employment made to me may be
withdrawn or my subsequent employment with this company may be terminated.
_____________________________________ ______________________
APPLICANT'S SIGNATURE DATE |
