Applications are considered for all positions without regard to Race, Color, Religion, Sex, National Origin, Age, Marital or Veteran Status, or in the presence of a Non-related Medical Condition or Handicap.
Name: Date:
Address:
City: State:
Zip Code:
DOB (mm/dd/yyyy):
Phone: Alt Phone (Cell):
Are you a Citizen of the United States?
If not, are you legally able to work in the US?
Have you ever applied with us before?
If yes, when?:
Position applied for:
I am interested in working:
If Part-time, can you work a full day at a time?
Days available if part-time:
(check all that apply)
Monday    Tuesday     Wednesday   Thursday       Friday   Saturday/Sunday
List any hobbies or skills you possess that require mechanical aptitude:
References (Please list three):
Name: Phone: Years known:
Have you ever been convicted of a criminal offense
If yes, explain:
By submitting this online employment application, I CERTIFY that the answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment I understand that false or misleading information given on my application or interview may result in temrination and/or criminal charges.