Employment Application
Car-Tunes, Inc. 1114 Hwy 82 East Greenville, MS 38703
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Date
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Month
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Day
Year
Date
Applicant Information
Name
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First Name
Last Name
Address
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Street Address
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City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
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Date of Birth
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Are You a US Citizen?
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Yes
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Social Security Number
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Desired Position
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Desired Salary
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Date Available for Employment
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Month
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Day
Year
Date
Have you ever been convicted a felony? If Yes, explain.
*
If selected for employment, are you willing to submit to a pre-employment drug screening test?
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Yes
No
If selected for employment, are you willing to submit to a background check?
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Yes
No
Education
School Names & Locations
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Years Attended & Degrees Received
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Specialty Training or Certifications
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Employment History
Current or Most Recent Employer
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Address
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Work Phone Number
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Dates Employed
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Position
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Responsibilities
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Pay Rate
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Supervisor Name and Title
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Supervisor Phone Number
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Supervisor Email
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Employer #2
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Employer #2 Address
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Employer #2 Phone Number
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Employer #2 Dates Employed
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Employer #2 Position
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Employer #2 Responsibilities
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Employer #2 Pay Rate
*
Employer #2 Supervisor Name and Title
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Employer #2 Supervisor Phone Number
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Employer #2 Supervisor Email
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example@example.com
Any additional employer information
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References
Name
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First Name
Last Name
Relationship
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Company and Title
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Phone Number
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Email
*
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Name
*
First Name
Last Name
Relationship
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Company and Title
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Phone Number
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Email
*
example@example.com
Name
*
First Name
Last Name
Relationship
*
Company and Title
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Additional Questions
Why would you like to work at Car-Tunes, Inc.?
What Unique Talents or Skills would you bring to our Team?
Acknowledgement and Authorization
*
I certify that all answers given are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination.
Signature
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Date
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Please verify that you are human
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