Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email*
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How did you learn of this opening?
Do you speak any other languages besides English? If yes, what languages?
Are you legally able to be employed in the U.S?*
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Yes
No
Are you at least 18 years or old?*
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Yes
No
Are you able to work Saturdays?*
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Yes
No
Are you able to work Holidays?*
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Yes
No
Are you presently employed?*
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Yes
No
Desired Salary
High School (Name & Location)*
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Years Attended*
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Did you graduate?*
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Yes
No
College (Name & Location)
Years Attended
Did you graduate?
Yes
No
Please describe any other education history. (i.e. trade schools)
Company 1. Name*
*
Starting Salary*
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Ending Salary*
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Position held/job duties*
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Name/Title of the Supervisor*
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What parts of this job did you like and why?*
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Reason for Leaving*
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May we contact this employer?*
*
Yes
No
If no, please explain.
Comments on Employment History
Company 2. Name
Starting Salary
Ending Salary
Position held/job duties
Name/Title of the Supervisor
What parts of this job did you like and why?
Reason for Leaving
May we contact this employer?
Yes
No
If no, please explain.
Comments on Employment History
Company 3. Name
Starting Salary
Ending Salary
Position held/job duties
Name/Title of Supervisor
What parts of this job did you like and why?
Reason for Leaving
May we contact this employer?
Yes
No
If no, please explain.
Comments on Employment History
Relationship*
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Years Known*
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Relationship*
*
Years Known*
*
Relationship*
*
Years Known*
*
This position requires the lifting of heavy objects, would this be a problem for you?*
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Yes
No
If yes, why?
Please describe what types of truck or van accessories you have purchased and from where, if any.*
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Have you ever installed any of the products you see in our showroom? If so, which ones?*
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Why do you want to change your current employment status?*
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What about this job appeals to you?*
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What types of products or services have you had experience selling in the past?*
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Why should we hire you? How do you think you might be an asset to this company?*
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Have you been convicted of a felony in the last several years or pleaded guilty to any criminal offense involving dishonesty or a fraudulent act? Do not include minor traffic violations.*
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Yes
No
If yes, state the charge, court location, date and final ruling.
Signature*
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Have you ever had a Fidelity Bond (crime and dishonesty insurance) denied or revoked?*
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Yes
No
Do you have any commitment to another employer or organization which might affect your employment with us such as a competitor or a conflict of interest?*
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Yes
No
If yes, please explain
Signature*
*
Submit
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