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Employment Application Form

Contact Information
Name*
First Last
Date
Date Format: MM slash DD slash YYYY
Have you ever used another name than the name given?*
- Yes
- No
Is any additional information regarding a name change, assumed name use, or nickname necessary to check on your work or education record?*
- Yes
- No
Please Explain
Current Address*
Street Address Address Line 2 City State ZIP Code
How long have you resided at the above address?*
Email*
Best method to contact you?
- Phone
- Email
Daytime phone number
Evening Phone Number
What position are you applying for?*
Please Explain...
Emergency Contact
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone*
General Qualifications
Do you have a valid drivers license?*
- Yes
- No
Do you have your own transportation*
- Yes
- No
How many moving violations have you had in the last 3 years?*
Are you willing to participate in any drug free workplace program we presently have or place in effect?*
- Yes
- No
Can you, prior to employment, sumbit verification of your legal right to work in the United States?*
- Yes
- No
Are you willing to supply us with autorization to acquire a state issued report of your driving record?*
- Yes
- No
Number of years of Professionally in position you are applying for?*
Number of years specializing in vehicle or area?*
Vehicles/areas Specialized in*
Do you have a fully equipped roll-around type tool box?*
- Yes
- No
What diagnostic equipment are you experienced in using?*
Do you have electronic test equipment, such as: Scanner (list brand)?*
DVOM(list brand)
EMPLOYMENT APPLICATION FOR AUTOMOTIVE TECHNICIANS
Are you A.S.E Certified? If so, number of areas:*
Have you worked on an incentive type pay system?
- Yes
- No
Are you currently employed as any of the following?
- Automotive Technician
- Shutte/Parts Driver
- Automotive Detailing
Years of formal education:
Any Special Training Attended? Please explain here...
Are you certified to weld?*
- Yes
- No
Are you certified by any trade associations or agencies?*
- Yes
- No
What are your certifications?
Education History
High School (Graduated?)
- Yes
- No
Vocational Training
Trade School
College
List all degrees and certifications you have that are relative to the position you are applying for
Employment History
Beginning with your present or most recent employer
Date from*
Date Format: MM slash DD slash YYYY
Date to*
Date Format: MM slash DD slash YYYY
Company Name
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone*
Average weekly take home pay?*
Payment Schedule
Reason for Leaving?
Date from*
Date Format: MM slash DD slash YYYY
Date to*
Date Format: MM slash DD slash YYYY
Company Name
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone*
Average weekly take home pay?*
Payment Schedule
Reason for Leaving?
Date from*
Date Format: MM slash DD slash YYYY
Date to*
Date Format: MM slash DD slash YYYY
Company Name
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone*
Average weekly take home pay?*
Payment Schedule
Reason for Leaving?
Are you currently working?
- Yes
- No
why not and for how long have you been unemployed?
May we contact your past employers?
- Yes
- No
...and your present employers?
- Yes
- No
How soon would you be able to start working with our company?
List hours you are available to work
Work Experience
What responsibilites did you have at your previous job(s)?*
How did you spend an average day?*
What attracted you to that type of job?*
What satisfaction did you get from the work you did?*
What were your most significant accomplishments in your job?
What areas gave you the most trouble and how did you solve this?
What were some of the things about your last job that you felt were particularly difficult to do?
What were some of the things you did most?
About You
What subjects in school did you like most?
What are your future plans?
Where do you see yourself in 5 years?
If we were to hire you, what would you hope to attain by working here?
What subjects in school did you like most?
In what areas do you feel you could contribute to our organization?
What is your ideal working environment?
What kind of direction/instruction/coaching do you prefer?
Are you willing to attend seminars to enhance your job training?
Do you prefer working by yourself or with others?
How do you work/deal with pressure?
What is your greatest strength?
What is your greatest weakness?
What in your background particularly qualifies you to do this job?
References
PLEASE INCLUDE TWO COWORKERS AND TWO SUPERVISORS (preferably from two different jobs)
Name*
First Last
Length of known time*
Relationship*
Phone*
Name*
First Last
Length of known time*
Relationship*
Phone*
Name*
First Last
Length of known time*
Relationship*
Phone*
Name*
First Last
Length of known time*
Relationship*
Phone*
AKNOWLEDGEMENT AND AUTHORIZATION
This is not an employment contract, nor an agreement to interview, and I understand that any employment can be terminated at any time, for any cause, without notice. 1 further understand than no person other than the business owner has the authority to enter into an employment agreement with me, or make any guarantee as to the length, terms or conditions of any such employment. 1 certify that to the best of my knowledge all of the information contained in this application is correct. I also authorize the investigation of all the statements contained in this application and I understand that any misrepresentation, falsification, or omission of facts from this application, will be cause for immediate dismissal.
Today's Date*
Date Format: MM slash DD slash YYYY

Our Address

Dixon's Automotive
4998 N Springboro Pike
Dayton, OH 45439

937-296-0079

Dixon's Automotive

Hours of Operation

Mon - Fri: 8:00am - 6:00pm

Our Reviews

Dixon's Automotive Customer Satisfaction Score of 99.99 % is based on 1 votes and 1 reviews over 6 months Certified AutoVitals Reviews

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Join Our Team

Employment Application Form

Contact Information

Emergency Contact

General Qualifications

EMPLOYMENT APPLICATION FOR AUTOMOTIVE TECHNICIANS

Education History

Employment History

Work Experience

About You

References

AKNOWLEDGEMENT AND AUTHORIZATION