Employment Looking for a career with Quarno’s Auto Salvage? Complete the application below and we’ll follow up with you as soon as we can. Employment Form PERSONAL INFORMATIONFIRST NAME*LAST NAME*SOCIAL SECURITY NO.PRESENT ADDRESSAPT. NO.CITYSTATEZIPPERMANENT ADDRESSAPT. NO.CITYSTATEZIPARE YOU 18 YEARS OR OLDER? YES NO PHONEDESIRED EMPLOYMENTPOSITIONDATE YOU CAN STARTSALARY DESIREDARE YOU EMPLOYED NOW? YES NO IF SO MAY WE INQUIRE OF YOUR PRESENT EMPLOYER? YES NO EVER APPLIED TO THIS COMPANY BEFORE? YES NO WHERE?WHEN?EVER WORK FOR THIS COMPANY BEFORE? YES NO WHERE?WHEN?REASON FOR LEAVINGNAME OF LAST SUPERVISOR AT THE COMPANYWHO REFERRED YOU TO THIS COMPANY? EMPLOYMENT AGENCY NEWSPAPER ADVERTISING FRIEND STATE EMPLOYMENT OFFICE COLLEGE PLACEMENT SERVICE WALK IN OTHER EDUCATIONHIGH SCHOOLNAME AND LOCATION OF SCHOOLNO. OF YEARS ATTENDEDDID YOU GRADUATE?SUBJECTS STUDIEDCOLLEGENAME AND LOCATION OF SCHOOLNO. OF YEARS ATTENDEDDID YOU GRADUATE?SUBJECTS STUDIEDTRADE, BUSINESS OR CORRESPONDENCE SCHOOLNAME AND LOCATION OF SCHOOLNO. OF YEARS ATTENDEDDID YOU GRADUATE?SUBJECTS STUDIEDGENERALSUBJECT OF SPECIAL STUDY OR RESEARCH WORKSPECIAL TRAININGSPECIAL SKILLSIF APPLYING FOR A DISMANTLER, MECHANIC OR YARD POSITION, DO YOU HAVE YOUR OWN TOOLS? YES NO WHAT IS THE PRIMARY BRAND OF TOOLS OWNED?FORMER EMPLOYERSLIST BELOW LAST THREE EMPLOYERS, STARTING WITH THE MOST RECENT ONE FIRST.NAME OF PRESENT OR LAST EMPLOYERADDRESSCITYSTATEZIPSTARTING DATELEAVING DATEJOB TITLEWEEKLY STARTING SALARYWEEKLY FINAL SALARYMAY WE CONTACT YOUR SUPERVISOR? YES NO NAME OF SUPERVISORTITLEPHONEDESCRIPTION OF WORKREASON FOR LEAVINGNAME OF PRESENT OR LAST EMPLOYERADDRESSCITYSTATEZIPSTARTING DATELEAVING DATEJOB TITLEWEEKLY STARTING SALARYWEEKLY FINAL SALARYMAY WE CONTACT YOUR SUPERVISOR? YES NO NAME OF SUPERVISORTITLEPHONEDESCRIPTION OF WORKREASON FOR LEAVINGNAME OF PRESENT OR LAST EMPLOYERADDRESSCITYSTATEZIPSTARTING DATELEAVING DATEJOB TITLEWEEKLY STARTING SALARYWEEKLY FINAL SALARYMAY WE CONTACT YOUR SUPERVISOR? YES NO NAME OF SUPERVISORTITLEPHONEDESCRIPTION OF WORKREASON FOR LEAVINGSERVICE RECORDBRANCH OF SERVICEDISCHARGE DATE RANKHAVE YOU BEEN CONVICTED OF A FELONY WITHIN THE LAST 5 YEARS? YES NO IF YES, EXPLAINPART IDENTIFICATION QUIZ PLEASE IDENTIFY EACH OF THE FOLLOWING AUTOMOTIVE PARTS123456789101112131415161718AUTHORIZATION* 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 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.
