subject_line
Employee Application
Personal Information
First Name
Last Name
Address 1
Address 2
City
State
Zip Code
Phone
Email Address
Position Applying For
(select all that apply)
Master Technician / A-Tech
Diag Technician / A-Tech
Technician - Experienced (A/B Tech)
Technician - General Services (GST / C Tech)
Service Advisor or Manager
Are you legally authorized to work in the United States?
Yes
No
Have you ever been convicted of a felony?
Yes
No
Employment History
Current or Most Recent Employer
Company Name
City/State
Start Date
+
End Date
+
Position / Title
Please Describe Your Pay Plan:
Flat Rate
Flat Rate with Guarantee
Hourly, Not Flat Rate
Commission Only
Salary with Commission/Bonus
Salary, no Commission/Bonus
Flat Rate Hourly Amount:
Hourly Amount (non-Flat Rate):
Guarantee Amount:
Salary Amount:
Commission Amount:
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone
🛈
Employer 2
Company Name
Address
Start Date
+
End Date
+
Position / Title
Pay / Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone
🛈
Employer 3
Company Name
Address
Start Date
+
End Date
+
Position / Title
Pay / Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone
🛈
References
Reference 1
Name
How do you know this person?
Email Address
Phone
Reference 2
Name
How do you know this person?
Email Address
Phone
Reference 3
Name
How do you know this person?
Email Address
Phone
Additional Information
Please describe any relevant training, certifications and credentials.
Please describe your expected pay rate and preferred structure.
Please submit a copy of your resume or other documents you feel are helpful.