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Midtown Body & Paint Employment Application
Applicant Information
*
Indicates required field
First & Last Name
*
Birthdate
(Month + Day + Year)
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Employment Verification
Position Applying For
*
Collision Repair Technician
Detail Apprentice
General Application
Desired Pay Range
*
Available Start Date
(Month + Day + Year)
*
Are you legally eligible for employment in the US?
*
Yes
No
Are you able to provide a Nebraska driver’s license?
*
Yes
No
Are you able to work full time?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Education
High School
*
Year Graduated
*
College
*
Year Graduated
*
Degree / Area of Study
*
Skills, Qualifications & Professional Licenses
Skills & Abilities
*
Qualifications
*
Professional Licenses
*
Experience / Employment History
Most Recent Experience / Employment (1)
Company Name
*
Position / Title
*
Start / End Dates
*
Salary
*
Position Duties
*
Supervisor Name
(First + Last)
*
Supervisor Phone
*
May we contact?
*
Yes
No
Reason for Leaving
*
Experience / Previous Employment (2)
Company Name
*
Position / Title
*
Start / End Dates
*
Salary
*
Position Duties
*
Supervisor Name
(First + Last)
*
Supervisor Phone
*
May we contact?
*
Yes
No
Reason for Leaving
*
Experience / Previous Employment (3)
Company Name
*
Start / End Dates
*
Position / Title
*
Salary
*
Position Duties
*
Supervisor Name
(First + Last)
*
Supervisor Phone
*
May we contact?
*
Yes
No
Reason for Leaving?
*
References
Reference (1)
Name
(First + Last)
*
Phone Number
*
Email
*
Relationship
*
Second Reference (2)
Name
(First + Last)
*
Phone Number
*
Email
*
Relationship
*
Resume & Cover Letter Upload
Resume
*
Max file size: 20MB
Cover Letter
*
Max file size: 20MB
Submit Application
