Careers

Personal Information
NAME (LAST NAME FIRST)*
PERMANENT ADDRESS*
Street Address City State ZIP Code
PHONE NO.*
SECONDARY PHONE NO.*
REFERRED BY

Education History
HIGH SCHOOL
NAME & LOCATION OF HIGH SCHOOL
YEARS ATTENDED
DID YOU GRADUATE
- YES
- NO
SUBJECTS STUDIED
COLLEGE
NAME & LOCATION OF COLLEGE
YEARS ATTENDED
DID YOU GRADUATE
- YES
- NO
SUBJECTS STUDIED
TRADE, BUSINESS, OR CORRESPONDENCE SCHOOL
NAME & LOCATION OF OTHER SCHOOL
YEARS ATTENDED
DID YOU GRADUATE
- YES
- NO
SUBJECTS STUDIED

General Information
SUBJECT OF SPECIAL STUDY/RESEARCH WORK
SPECIAL TRAINING
SPECIAL SKILLS
U.S. MILITARY OR NAVAL SERVICE
RANK

Former Employers
(LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)
EMPLOYER 1
NAME & ADDRESS OF EMPLOYER*
DATE FROM*
DATE TO*
SALARY*
POSITION*
REASON FOR LEAVING*
EMPLOYER 2
NAME & ADDRESS OF EMPLOYER
DATE FROM*
DATE TO*
SALARY*
POSITION*
REASON FOR LEAVING*
EMPLOYER 3
NAME & ADDRESS OF EMPLOYER
DATE FROM*
DATE TO*
SALARY*
POSITION*
REASON FOR LEAVING*
EMPLOYER 4
NAME & ADDRESS OF EMPLOYER
DATE FROM*
DATE TO*
SALARY*
POSITION*
REASON FOR LEAVING*

References
(GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.)
REFERENCE 1
NAME
ADDRESS
BUSINESS
YEARS KNOWN
REFERENCE 2
NAME
ADDRESS
BUSINESS
YEARS KNOWN
REFERENCE 3
NAME
ADDRESS
BUSINESS
YEARS KNOWN

Authorization
"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 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.This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.I understand that a consumer credit report or criminal records check may be necessary prior to my employments. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment."In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
DIGITAL ACKNOWLEDGEMENT
- I ACCEPT THE ABOVE AUTHORIZATION

<h4>B&E Collision - Employment Application Form</h4>

We are an Equal Opportunity Employer and B&E Collision is a drug-free workplace.

Step 1 of 7

Personal Information

Employment Desired

Education History

HIGH SCHOOL

COLLEGE

TRADE, BUSINESS, OR CORRESPONDENCE SCHOOL

General Information

Former Employers

EMPLOYER 1

EMPLOYER 2

EMPLOYER 3

EMPLOYER 4

References

REFERENCE 1

REFERENCE 2

REFERENCE 3

Authorization

Get Social

CONTACT US

Map It

ASE CERTIFIED

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