Careers - MJ BROTHERS AUTO AND TRUCK REPAIR

Applicant Information

Applicant Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Telephone Phone*

Email Address*

Employment Position

Position(s) applying for:*

How did you hear about this position?*

On what date can you start working if you are hired?*

Salary desired:*

Personal Information

Are you 18 years of age or older?*

Yes
No

Are you a U.S. citizen or approved to work in the United States?*

Yes
No

What document can you provide as proof of citizenship or legal status?*

Will you consent to a mandatory controlled substance test?*

Yes
No

Have you ever been convicted of a criminal offense (felony or misdemeanor)?*

Yes
No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Convictions are not an automatic disqualification from employment.

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: MJ BROTHERS AUTO & TRUCK REPAIR complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional. )

Education and Training

Where did you attend high school & college? (Click the + button to add a new row)*

School Name	Location (City, State)	Year Graduated	Degree Earned

Are you taking any educational course(s) presently?*

Yes
No
I will be soon

If Yes or you will be soon, what and where?

Military Service

Are you or have you ever served in the Armed Services?

Yes
No

What branch of the military did you enlist?

What was your military rank held at discharge?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Employment History

Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.

Employer Name (Most Recent)*

Job Title:*

Supervisor Name:*

Employer Address*

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

Employer Telephone*

Dates Employed*

From	To

Reason for Leaving?

Employer Name (Second Most Recent)

Job Title:

Supervisor Name:

Employer Address

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

Employer Phone

Dates Employed

From	To

Reason for Leaving?

Employer Name (Third Most Recent)

Job Title:

Supervisor Name:

Employer Address

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

Employer Phone

Dates Employed

From	To

Reason for Leaving?

References

Please provide 3 personal and professional reference(s) below:*

Name	Contact Information	Years Known

Additional Information:

AT-WILL EMPLOYMENT

The relationship between you and the MJ BROTHERS AUTO & TRUCK REPAIR is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the MJ BROTHERS AUTO & TRUCK REPAIR . No representative of MJ BROTHERS AUTO & TRUCK REPAIR has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Digital Signature:

Printing your First Name + Middle Initial + Last Name will act as your digital signature.

Date

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