Employment Application 1234 Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Are you able to prove your eligibility to work in the United States?* Yes No Have you ever been in the U.S. military?* Yes No Have you ever been convicted or plead guilty to a crime?* Yes No Please explain why you checked "Yes".Do you have a clean driving record clear of points on your license?* Yes No Please explain. Which location(s) are you interested in working at? (Check all that apply)* Akron Downtown Cleveland Fairlawn Garfield Heights Medina Parma Heights Seven Hills Strongsville Westlake Would you like to apply for the Service Technician position? Yes No Would you like to apply for the Lube Technician position? Yes No Would you like to apply for the Assistant Manager position? Yes No Employment* Full Time Part-Time When are you available to begin work? (check one)* Immediately In the next month Other When can you start: Present or Most Recent PositionPosition* Employer* Employer's Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date Started* MM slash DD slash YYYY Date Ended MM slash DD slash YYYY Leave blank if you are still currently employed at this position.Reasons for Leaving:*How many years of experience do you have?* 0-2 3-5 6-10 11+ What has been your favorite place to work so far and why? What did you like most about that work place?*What has been your least favorite place to work so far and why? What was it about that job you did not like?*What are your strongest skills or favorite types of work to do? (i.e. Electrical, brakes, maintenance services, etc.)*Describe your career goals:* EducationEducation: Check all that apply. High School / GED Trade School / Vocational School Some College College Degree Are you currently in school?* Yes No Where are you currently enrolled? Do you currently have or have you ever held any ASE certifications? G1 - Auto Maintenance & Light Repair A1 – Engine Repair A2 – Automatic Transmission/Transaxle A3 - Manual Drive Train & Axles A4 – Suspension & Steering A5 – Brakes A6 – Electrical/Electronic Systems A7 – Heating & Air Conditioning A8 – Engine Performance A9 – Light Vehicle Diesel Engines Master Technician (A1 through A8) C1 – Service Consultant L1 – Advanced Engine Performance L3 – Light Duty Hybrid/Electric Vehicles Δ
