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Automotive Transfers, Inc. Application for Employment

Personal Information: Name
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Social Security No.
Present Address City State Zip Code
Permanent Address City State Zip Code
Main Phone No.
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Alternate Phone No.
E-Mail Address
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Were you referred by anyone at Automotive Transfers? Yes No If Yes, who referred you?
Have you ever been convicted of a felony? Yes No   If Yes, please explain
Automotive Transfers, Inc. is an Equal Opportunity Employer and does not make employment decisions based on race, color, religion, sex, national origin, or disability status.
Employement History: Are you currently employed? Yes No
Have you ever worked for another Locator service? Yes No   If Yes, where & when?
(Please start with the most recent employer first)
Employer #1: Address City State
From to Pay per hour salary   Supervisor Name
Reason for leaving
Employer #2: Address City State
From to Pay per hour salary   Supervisor Name
Reason for leaving
Employer #3: Address City State
From to Pay per hour salary   Supervisor Name
Reason for leaving
Employer #4: Address City State
From to Pay per hour salary   Supervisor Name
Reason for leaving
Education: High School Name, City, & State Years Attended:
Did you graduate from High School? Yes No   Grade Point Average (GPA): out of
College Name, City, & State Years Attended:
Did you graduate from College? Yes No   Grade Point Average (GPA): out of
Other Degrees or qualifications
Military History: Have you ever been in the Military?Yes No
If Yes, What Branch Rank Discharge Status
References: Please provide the names of three (3) people not related to you, whom you have known for at least ONE year.
_ Name: Address Business Years known
Contact Phone Number: Contact E-Mail
Name: Address Business Years known
Contact Phone Number: Contact E-Mail
Name: Address Business Years known
Contact Phone Number: Contact E-Mail
Authorization: "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers 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 the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. I understand that, if employed, my employment with Automotive Transfers is not for a specific term and may be terminated by me or the employer with or without notice or cause at any time. I further understand that no oral promise, employer policy, custom, business practice or other procedure (including the personnel handbook or any personnel manuals) constitute an employment contract or modification of the at-will employment relationship between me and Automotive Transfers. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal or state laws."
Date:
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  Signature:
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What are you looking for in a career? Why? (Be specific)
What personal qualities do you possess that would be the most valuable to you in a sales, marketing, or customer service position?
Why do you want to make a career change?