Employment

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First Name:

Last Name:

Email Address:

Home Phone:

Cell Phone / Pager:

Address:

State:

City:

Position applied for:

Sales

Auto Technician

Tire & Lube Tech

*Have you ever been employed with the company before:

Yes

Are you currenty employed?:

Yes

Do you have reliable means of transportation to and from work?:

Yes

If hired, would you be able to work overtime as needed?:

Yes

Have you ever been convicted of a felony?:

Yes

If yes, please explain:

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Text: