Online Application

Please fill out the form below.
Note, that the “Consent” checkbox is Required to check before Submitting.
After you Submit, you will go to a confirmation page.
On the confirmation page, if you wish, you will have an opportunity to email in your Resume.

GENERAL

Name (Last, First, Initial)

SSN

Current Address (Street, City, State)

Zip Code

Date

Date of Birth

Phone #

Alternate Phone #

If hired, can you provide proof of citizenship or legal right to work?

POSITION APPLYING FOR

Jobs Available

Position Desired

Date Available

Salary Expected

Source of referral

BACKGROUND INFORMATION

Have you ever been convicted of a felony or a first degree misdemeanor?

If yes, please explain

Do you have a valid driver’s license?

Do you have any speeding tickets or reckless driving infractions in the last 5 years?

Have you had a DUI in the last 5 years?

If yes, when?

Will you pass a drug screening test?

Driver License Number

State Issued

Date available to start work

Emergency Contact Name

Phone Number

Emergency Contact Relationship

EMPLOYMENT HISTORY – Starting with the most recent

1) Company Name

Employed From

Employed To

Address

Phone Number

Final Salary

Name & Title of Immediate Supervisor

Can we contact this employer?

Your Title

Reason For Leaving

Description of Responsibilities

2) Company Name

Employed From

Employed To

Address

Phone Number

Final Salary

Name & Title of Immediate Supervisor

Can we contact this employer?

Your Title

Reason For Leaving

Description of Responsibilities

3) Company Name

Employed From

Employed To

Address

Phone Number

Final Salary

Name & Title of Immediate Supervisor

Can we contact this employer

Your Title

Reason For Leaving

Description of Responsibilities

EDUCATION / TRAINING

High School

School Name, City and State

Course of Study / Major

Years Attended

Graduated?

If yes, when?

Title of Degree Received

College, University or Tech School

School Name, City and State

Course of Study / Major

Years Attended

Graduated?

If yes, when?

Title of Degree Received

Other

School Name, City and State

Course of Study / Major

Years Attended

Graduated?

If yes, when?

Title of Degree Received

Additional Skills and/or Training

List any skills and/or training you have that are relevant to the position you are applying for.

LANGUAGE ABILITY/SKILLS

English

Yes, I speak English

Yes, I read English

Yes, I can write English

Other Language

Yes, I speak this language

Yes, I read this Language

Yes, I can write this Language

Skills

Typing Skills

Words Per Minute

List ASE Certificates acquired or Awards received

PERSONAL REFERENCES – List three people not related to you

1) Name

Phone

Years Known

Relationship To Applicant

2) Name

Phone

Years Known

Relationship To Applicant

3) Name

Phone

Years Known

Relationship To Applicant

STATEMENT OF PURPOSE

I certify that my application and all attachments are true and complete to the best of my knowledge. I understand that any incorrect, incomplete, or false statements or information furnished by me may, at the discretion of Top Performance Automotive, disqualify me from employment, or cause my dismissal. I hereby authorize Top Performance Automotive to make a thorough investigation of my past employment and activities. I release from liability Top Performance Automotive, former employers, or any persons supplying such information. The language in this application is not intended to create, nor is it to be misconstrued to constitute, a contract of employment.

I have read, understood and consent to these statements. *

Date

No person shall be denied employment on the basis of race, color, ethnicity, national origin, sex/gender, sexual orientation, religion, creed, disability (including HIV status, age, veteran status, marital status or ex-offender status).