Pre-Employment Application

READ THIS STATEMENT AND THEN DATE AND SIGN BELOW

" 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 AND 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."

Full Name

Phone with area code

What is your permanent address with zip code?

Are you at least 18 years old?

What is your age group? (not required)

What Position are you looking for?

What date can you start?

Are you presently employed?

Who is your present Employer?

What is the contact name & phone number of your present employer?

If you are presently employed, Please tell me about your job description , date started, salary, hours worked, etc.

Is it OK to contact your present employer?

Did you attend High School?

If you attended High School, What is the school's Name & Location?

Did you graduate from High School?

If you attended High School, Please Tell me about your favorite subjects.

Did you attend College or Trade School?

What was the name of the College or Trade School?

Did you graduate from this College or Trade School?

If you attended College or Trade School, What were your favorite subjects?

Tell me about your special interests like sports, social clubs etc.

Tell me about another previous employer not listed above (if any) and give contact name, address, phone number, dates that you worked there & reason for leaving.

May we contact this employer?

Tell me about another previous employer not listed above (if any) and give contact name, address, phone number, dates that you worked there & reason for leaving.

May we contact this employer?

List 3 references that we may contact. They can not be related to you & you must have known them for at least one year. Please give their Name, Address, phone numbers & years acquainted.

If you have Military Service, please list branch and discharge date etc.

Have you been convicted of a Felony within the last 5 Years?

If you have been convicted of a Felony in the last 5 Years, Please explain.

How did you hear about Ken's Car Tunes?

This is your opportunity to tell us why you feel that you are qualified for the position that you are applying.

Type in your Signature that you agree with the statement above.

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Date of Signature

Pre-Employment Application

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