Apply for a Job with Loren’s Auto Repair

Application

We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, marital status, national origin, age, physical or mental disability.

Name*
First Middle Last
Date
Date Format: MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Phone
Email
Education & Training
Do you have a valid and current Driver's License?
- Yes
- No
Circle last grade completed
College
Last High School Attended/Address
Graduate
- Yes
- No
College, University or Technical/Address
Graduate
- Yes
- No
College, University or Technical/Address
Graduate
- Yes
- No
Skills
Position you are applying for
Desired Wage:
Date Available to Start
List any skills that you have that are appropriate for the job you are applying for:
State why you believe that you are qualified for this position:
State any interest or hobbies that you feel may be useful in the position you are seeking. Names or organizations designating religion, race, etc. need not be mentioned.
State a previous job performance/accomplishment that you feel that you can be really proud of and explain why:
State a previous job experience that you feel could have been handled better if done another way, explain:
General Information
Are you willing to take a pre-employment physical, drug screening, and background check?
- Yes
- No
Have you been convicted of any felonies?
- Yes
- No
If Yes Explain:
(A criminal record or a conviction will not automatically bar employment, but will be considered only if it reasonably relates to your fitness to perform in the position for which you are applying.)
Employment History
Starting with your present or most recent employment list in consecutive order all employment for at least the past four employers. If currently employed, may we contact your employer?
- Yes
- No

Employment Details

FULL NAME OF COMPANY	TELEPHONE NUMBER	Salary	Employed

NAME AND TITLE OF SUPERVISOR	TITLE OF YOUR POSITION

List job duties performed, skills used, & promotions while employed at this company:
Address
Street Address City State ZIP Code

Employment Details

FULL NAME OF COMPANY	TELEPHONE NUMBER	Salary	Employed

NAME AND TITLE OF SUPERVISOR	TITLE OF YOUR POSITION

List job duties performed, skills used, & promotions while employed at this company:
Address
Street Address City State ZIP Code

Employment Details

FULL NAME OF COMPANY	TELEPHONE NUMBER	Salary	Employed

NAME AND TITLE OF SUPERVISOR	TITLE OF YOUR POSITION

List job duties performed, skills used, & promotions while employed at this company:
Address
Street Address City State ZIP Code

READ CAREFULLY: I certify that the information contained in this application is correct to the best of my knowledge and understated that any misstatement of omission of information may result in denial of employment or discharge. I authorize the references 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 all parties from all liability for any damage that may result furnishing same to you.
Signature
Date
Date Format: MM slash DD slash YYYY
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