Big Wheels Customs Application for Employment
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Are you available to work in the US?
*
Yes/No
Are you a Veteran?
*
Yes/No
Position Applying For?
*
Tire Team
Mechanic
Office Staff
Paint & Body
Available Start Date:
*
MM/DD/Year
Desired Pay:
*
Type of Employment Desired?
*
Part Time
Full Time
Seasonal/Temporary
Relevant Experience?
*
Highest Grade Achieved?
*
High School Diploma/GED
1 Year College
2 Year College
Associates Degree
Bachelors Degree
Other
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References
Reference 1 Name
*
First Name
Last Name
Reference Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference Title:
*
Reference Company:
*
Years Known
*
Reference 2 Name:
*
First Name
Last Name
Reference 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 Title:
*
Reference 2 Company
*
Years Known?
*
Reference 3 Name:
*
First Name
Last Name
Reference 3 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 3 Title:
*
Reference 3 Company:
*
Years Known?
*
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Employment History
Current/Most Recent Employer
*
Name of Employer & Position Held
Date Employment Started
*
Date Employment Ended
*
Employer Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason For Leaving
*
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Employment History (Con't)
Employer Name
*
Name of Employer & Position Held
Date Employment Started
*
Date Employment Ended
*
Employer Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for Leaving
*
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Next
Employment History (con't)
Employer Name
*
Employer Name & Position Held
Date Employment Started
*
Date Employment Ended
*
Employer Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason For Leaving
*
Today's Date
*
-
Month
-
Day
Year
Date
Digital Disclaimer
*
I certify my answers are true and complete to the best of my knowledge. I understand that false or misleading information on my application or interview may result in employment being terminated.
Type Name for Digital Signature
*
Submit
Should be Empty: