PERSONAL INFORMATION

NAME:

SS#:

ADDRESS:

CITY STATE ZIP:

ARE YOU 18 YRS OLD OR OLDER?
 YES     NO

TELEPHONE:

DESIRED EMPLOYMENT

POSITION:

DATE YOU CAN START:

SALARY DESIRED:

ARE YOU EMPLOYED NOW?
 YES   NO

IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?
 YES   NO

EVER APPLIED TO THIS COMPANY BEFORE?
 YES   NO

WHERE?:

WHEN?

EVER WORKED FOR THIS COMPANY BEFORE?
 YES   NO

WHERE?:

WHEN?:

REASON FOR LEAVING:

NAME OF LAST SUPERVISOR AT THIS COMPANY:

WHO REFERRED YOU TO THIS COMPANY
 EMPLOYMENT AGENCY   NEWSPAPER AD  STATE EMPLOYMENT OFFICE   JUST SURFING

 COLLEGE PLACEMENT SERVICE   FRIEND    WHO?:

EDUCATION

SCHOOL LEVEL

NAME & LOCATION
OF SCHOOL

# OF YRS ATTENDED

DID YOU GRADUATE?

SUBJECTS STUDIED

GRAMMAR SCHOOL

 YES
 NO

HIGH SCHOOL

 YES
 NO

COLLEGE

 YES
 NO

TRADE, BUSINESS OR CORRESPONDENCE SCHOOL

 YES
 NO

GENERAL

SUBJECTS OF GENERAL STUDIES OR RESEARCH WORK:

SPECIAL TRAINING:

SPECIAL SKILLS:

CURRENT AND PREVIOUS EMPLOYER(S)

NAME OF PRESENT OR PREVIOUS EMPLOYER:

ADDRESS:

CITY, STATE, ZIP CODE:

STARTING DATE:

LEAVING DATE:

JOB TITLE:

WEEKLY STARTING SALARY:

WEEKLY ENDING SALARY:

MAY WE CONTACT
YOUR SUPERVISOR?
 YES   NO

NAME OF SUPERVISOR:

TITLE:

TELEPHONE:

DESCRIPTION OF WORK:

REASON FOR LEAVING:

NAME OF NEXT MOST RECENT EMPLOYER:

ADDRESS:

CITY, STATE, ZIP CODE:

STARTING DATE:

LEAVING DATE:

JOB TITLE:

WEEKLY STARTING SALARY:

WEEKLY ENDING SALARY:

MAY WE CONTACT
YOUR SUPERVISOR?
 YES   NO

NAME OF SUPERVISOR:

TITLE:

TELEPHONE:

DESCRIPTION OF WORK:

REASON FOR LEAVING:

REFERENCES
Below, give the names of three persons you are not
related to, whom you have known for at least one year.

NAME

ADDRESS & PHONE

BUSINESS

YRS KNOWN

OTHER

HAVE YOU BEEN CONVICTED OF A FELONY?:    YES   NO
If yes, please explain below.  (Will not necessarily exclude you from consideration.)

GENERAL

DO YOU HAVE A VALID CALIFORNIA DRIVER’S LICENSE?  YES   NO
IF YES, PLEASE PROVIDE THE NUMBER:

HOW MANY TICKETS/ACCIDENTS HAVE YOU HAD IN THE LAST SEVEN YEARS? 
PLEASE DESCRIBE THEM:
(Please note: a valid DMV printout will be required as a condition of employment)

WHAT COLLEGES OR TRADE SCHOOLS HAVE YOU ATTENDED?
(Please give the name of the school, any certificates received, any diplomas received and what your major courses of study were.)

WHAT IS YOUR PRESENT OCCUPATION:

PLEASE DESCRIBE YOUR JOB RESPONSIBILITIES:

PLEASE ANSWER THE FOLLOWING QUESTIONS:

HAVE YOU EVER OWNED OR OPERATED A MOBILE TOUCH-UP, PAINT REPAIR, DENT REPAIR, OR INTERIOR REPAIR SERVICE? YES   NO

IF YES, PLEASE DESCRIBE THE SERVICE, WHEN AND WHERE YOU OPERATED IT, WHO OWNED THE BUSINESS, WHAT TYPES OF ACCOUNTS YOU SERVICED, AND FOR HOW LONG AND ANY OTHER DETAILS ABOUT THE BUSINESS.  PLEASE TELL US WHETHER YOU SIGNED A NON-COMPETE AGREEMENT.

HAVE YOU EVER WORKED FOR A BODY SHOP?  YES   NO

IF YES, FOR HOW LONG, FOR WHAT COMPANY AND WHO OWNED THE BUSINESS:

PLEASE LIST YOUR RESPONSIBILITIES:

HAVE YOU EVER PERFORMED A SPOT BLEND ON A VEHICLE? YES   NO

IF YES, PLEASE DESCRIBE THE PROCESS AND CHEMICALS YOU USED TO INITIATE THE SPOT BLEND PROCESS:

HAVE YOU EVER USED A SCRATCH REMOVAL PROCESS TO REPAIR SCRATCHES ON A VEHICLE?
 YES   NO

IF YES, PLEASE DESCRIBE THE PROCESS AND THE CHEMICALS YOU USED TO PERFORM THE SCRATCH REMOVAL PROCESS:

PLEASE DESCRIBE HOW YOU WERE FIRST INTRODUCED TO COLORS ON PARADE:

BRIEFLY DESCRIBE WHAT YOU KNOW ABOUT COLORS ON PARADE:

Your E-Mail Address:

SIGN HERE:

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