Application For Employment

General Information

Date: _________________

Name: ______________________________________________________________

Street: _______________________________________________________________

City: _____________________________ State: _____________ ZIP: _____________

Phone #: _______________________________________________________________

Desired Position: __________________________ Date you can start: _______________

Hourly rate you are expecting: ______________ Are you currently employed?: _______

May we contact your current employer? __________Past employer?________________

______________________________________________________________________

Level of Education

High School Secondary Education Trade School
Graduate [ ] Degree Graduate [ ]

I-CAR/ Special Training

I-Car Training: ________________________________________________________________________
ASE Certified: ________________________________________________________________________Manufacturer Training: ________________________________________________________________________

Employment History

List last four Employers, starting with last first:
If you have a resume with this information listed you may skip this section

From: _________To: ____________ Company Name: __________________________

Address: _________________________________

Contact Person & Phone Number:

____________________________

From: __________To: __________ Company Name: ___________________________

Address: __________________________________
Contact Person & Phone Number:

____________________________

From: ___________To: __________ Company Name: ___________________________

Address: _________________________________

Contact Person & Phone Number:

____________________________

From: ___________To: __________ Company Name: ___________________________

Address: _________________________________

Contact Person & Phone Number:

____________________________

To help us learn about you please take this opportunity to answer these questions:

Describe the ideal opportunity for you:

What 5 qualities do you possess that will help you be successful at Akins? Give an example of how each quality has helped you in past employment situations.

What accomplishment are you most proud of?

Describe yourself in one word:

Sign: __________________________________________ Date: ___________________

For Office use only

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