Employment Application - Space Age Auto Paint Store

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

"*" indicates required fields

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Referred By

Are you 18 years or older?*

Yes

No

Are you 16 years or older?*

Yes

No

Do you have a valid driver's license?*

Yes

No

EMPLOYMENT DESIRED

Position

Desired Salary*

Available Start Date*

Days Available*

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Hours Available*

Have you ever applied to this company before?*

Yes

No

If so, when?

EDUCATION

High School*

Name and Location

Last Year Completed*

Did you graduate?*

Yes

No

College

Name and Location

Last Year Completed

Did you graduate?

Yes

No

Degree(s) Earned

GENERAL

Subjects of Special Study or Interest

Language(s) Spoken Besides English

Job Related Skills

EMPLOYMENT HISTORY

Are you currently employed?*

If so, may we contact your employer?

Name of Most Recent Employer

Name of Supervisor

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment

Salary/Hourly Rate of Pay

Position and Duties

Reason for Leaving

Name of Employer

Name of Supervisor

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment

Salary/Hourly Rate of Pay

Position and Duties

Reason for Leaving

May we contact for references?

Yes

No

REFERENCES

Name*

First Last

Phone*

Email*

Occupation*

Number of Years Acquainted*

Name*

First Last

Phone*

Email*

Occupation*

Number of Years Acquainted*

Name*

First Last

Phone*

Email*

Occupation*

Number of Years Acquainted

AUTHORIZATION

Consent*

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 employment being terminated. I authorize the verification of any information provided in the application. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

Signature*

Type your full name - this constitutes your signature

Date*

ONLINE EMPLOYMENT APPLICATION

EMPLOYMENT DESIRED

EDUCATION

GENERAL

EMPLOYMENT HISTORY

REFERENCES

AUTHORIZATION