Armstrong Auto Center Inc. is rapidly expanding and always looking for well QUALIFIED AUTOMOTIVE TECHNICIANS in Hattiesburg, MS. We pay up to $25 PER BOOK HOUR, PLUS BONUS PAY PLAN. Health insurance, paid holidays, and vacation benefits available to all employees.
YOU CAN PRINT THIS FORM OFF AND FAX IT TO THE OFFICE (601) 583-1473 or PASTE & COPY TO THE CONTACT PAGE AND E-MAIL IT TO US. YOU MAY ALSO CALL or COME IN AND FILL OUT AN APPLICATION AND SPEAK WITH ADAM or DAVID.
Employment Application
Applicant Information
Date: _________
Full Name:
___________ _____________ _________
Last First M.I.
Address:
________________________ _____________
Street Address Apartment/Unit #
________ ________ ___________
City State ZIP Code
Phone: ( )
E-mail Address: __________________
Date Available:______________
Social Security No.:___ - ___ -______ (NOT REQUIRED)
Desired Salary: $__________
Position Applied for:___________________
Are you a citizen of the United States? YES or NO
If no, are you authorized to work in the U.S.? YES or NO
Have you ever worked for this company? YES or NO
If yes, when?_______________________________________________________________________ __________________________________________________________________________________
Have you ever been convicted of a felony? YES or NO
If yes, explain:__________________________
Education______________________________
High School:
Address: _______________________________
Did you graduate? YES or NO
Degree: YES or NO (If, yes what degree) ___________________________________
College:__________________________________
Address:_________________________________
Did you graduate? YES or NO
Other:____________________________________
Address:__________________________________
From:______________________________________
To: _______________________________________
Did you graduate? YES or NO
References
Please list three professional references.
Full Name: _________________________
Relationship:________________________
Company: __________________________
Phone: ( )
Address:____________________________
Full Name:___________________________
Relationship:_________________________
Company:____________________________
Phone: ( )
Address:______________________________
Full Name:___________________________
Relationship:_________________________
Company:____________________________
Phone: ( )
Address:______________________________
Previous Employment
Company: ___________________
Phone: ( )
Address: ____________________
Supervisor:___________________
Job Title: ____________________
Starting Salary: $ _____________
Ending Salary: $ ______________
Responsibilities: _____________________________________________________________________
___________________________________________________________________________________
From:______________
To: ________________
Reason for Leaving: ___________________________________________________________________
May we contact your previous supervisor for a reference? YES or NO
Company: ___________________
Phone: ( )
Address: ____________________
Supervisor:___________________
Job Title: ____________________
Starting Salary: $ _____________
Ending Salary: $ ______________
Responsibilities: _____________________________________________________________________
___________________________________________________________________________________
From:______________
To: ________________
Reason for Leaving: ___________________________________________________________________
May we contact your previous supervisor for a reference? YES or NO
Company: ___________________
Phone: ( )
Address: ____________________
Supervisor:___________________
Job Title: ____________________
Starting Salary: $ _____________
Ending Salary: $ ______________
Responsibilities: _____________________________________________________________________
___________________________________________________________________________________
From:______________
To: ________________
Reason for Leaving: ___________________________________________________________________
May we contact your previous supervisor for a reference? YES or NO
Military Service YES or NO
Branch:__________________
From: ___________________
To: _____________________
Rank at Discharge:___________
Type of Discharge: ____________
If other than honorable, explain: __________________________________________________________
____________________________________________________________________________________
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature:_____________________________ Date:_________________