Online Application Test 1 - Top Performance Auto

Online Application

Please fill out all *Required fields
After you Submit, if you have not filled out the *Required fields, they will be highlighted for you in red. Fill them out, then click the Submit button again. Once successful, you will go to a confirmation page.
After you Submit the Application, 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

State 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).