HI-TECH INTERIORS, INC
APPLICATION FOR EMPLOYMENT
G G & D Motor Vehicle Services-(Online)
Third Party Titles & Registration
1160 E. VAN BUREN
PHX AZ 85006
PH: (602)393-1362
FAX: (602) 254-7589
G G & D Financial provides equal employment opportunity for all qualified persons without regard to race, color, religion, sex, age, national origin, or disability. This policy also applies to promotion, transfer, layoff, termination, selection for training, rates of pay, and all other forms of compensation and benefits.
Read carefully and answer all questions. Incomplete or inaccurate responses will result in your application being rejected. Please print in black or blue ink.
PERSONAL: Date:
Name Home Phone
Last First Middle
Present Address
Street Address Apt. No. City State Zip
Previous Address
Street Address Apt. No. City State Zip
Who should be contacted in case of emergency? Name Relationship
Phone
Street Address City State Zip
Are you authorized to work in the United States? Yes No
If you are not a Citizen of the United States, please indicate your authorization to be employed.
Have you ever been convicted of any crime (excluding minor traffic violations) including DWI?
Yes No
If yes, state the offense, location, date, and disposition.
Note: A conviction record may not necessarily bar you from employment.
Driver’s License: State__________________ Number____________________ Type_______________
have you ever been arrrested by any law enforcement agency? Yes No
have you ever posted bond, deposited bail, or been summoned into court for violation of any law?
Yes No
have you served time in jail or prison? Yes No
have you ever used any other name otherthan the name on this application? Yes No
have you been fired fom any job? Yes No
has your driving privilege been revoked, cancelled, suspended, or disqualified? Yes No
Please provide complete details of any “YES” answer above.
EMPLOYMENT DESIRED:
Would you be available to work on: Weekdays Weekends Nights Holidays
Position applied for Salary Desired $
Date available to start
Please, give names and position of any relative employed by this company.
Have you previously been employed with this company? If yes, indicate date and position.
How did you hear of our company and/or position?
EDUCATION:
| | | Number | | |
|Name and address of School |Course of |Of Years |Did You |Diploma or |
| |Study |Completed |Graduate? |Degree Received |
|High School | | | | |
|College | | | | |
|Business or Trade School | | | | |
If you did not graduate, why did you leave high school or college?
Are you planning to pursue further studies? Yes No If so, when, where, and what course?
List and describe any other School or Specialized Training.
SPECIAL SKILLS:
Are you bilingual? Yes No
Which languages do you speak, read and write?
Have you had any computer or word processing experience or training? Yes No
If yes, please describe
Do you type? Yes No Words Per Minute
Use the space below to describe why you are interested in working for our company and to list those skills and abilities, which you feel particularly, qualify you for a position with us. If you need more space, please continue on a separate sheet.
EMPLOYMENT HISTORY:
Please, indicate your previous employments for the past five years.
Are you presently employed? Yes No
If yes, can we contact your present employer? Yes No
| | |
| |Final |
| |Left Salary |
| |Employer Month Year |
|Most |Starting |
|Recent |Started Salary |
|Employer |Address Month Year |
| |Phone Reason for leaving |
| |Type of Business |
| | |
| |Direct Supervisor Title |
| |Your Position Your Duties |
| | |
| |Final |
| |Left Salary |
| |Employer Month Year |
|Previous |Starting |
|Employer |Started Salary |
| |Address Month Year |
| |Phone Reason for leaving |
| |Type of Business |
| | |
| |Direct Supervisor Title |
| |Your Position Your Duties |
| | |
| |Final |
| |Left Salary |
| |Employer Month Year |
|Previous |Starting |
|Employer |Started Salary |
| |Address Month Year |
| |Phone Reason for leaving |
| |Type of Business |
| | |
| |Direct Supervisor Title |
| |Your Position Your Duties |
| | |
| |Final |
| |Left Salary |
| |Employer Month Year |
|Previous |Starting |
|Employer |Started Salary |
| |Address Month Year |
| |Phone Reason for leaving |
| |Type of Business |
| | |
| |Direct Supervisor Title |
| |Your Position Your Duties |
| | |
| |Final |
| |Left Salary |
| |Employer Month Year |
|Previous |Starting |
|Employer |Started Salary |
| |Address Month Year |
| |Phone Reason for leaving |
| |Type of Business |
| | |
| |Direct Supervisor Title |
| |Your Position Your Duties |
If you worked in any of your previous positions under another name, please give that name
AFFADAVIT:
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 authorized investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment, credit and any pertinent information they may have and release all parties from all liability for any damage that may result from furnishing you same.
I understand and that agree and if hired, my employment is for no definite period may regardless of the date, payment of my wages and salary, be terminated at any time without prior notice and without cause.
Signature Date
COMPANY USE ONLY
Date of interview:
Interviewer’s remarks:
................
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