Auto body & collision repair - Merton Auto Body

Position Applying For:
Personal Details
Name:*
First Last
Address:*
Street Address Address Line 2 City State ZIP Code
Email:*
Phone:*
Do you have a valid driver's license?*
- Yes
- No
Driver's License Number:*
Have you been cited for a traffic violation of any kind within the last 5 years?*
- Yes
- No
If yes, please give date and details:*
Have you been convicted of a felony?*
- Yes
- No
If yes, please give date and details:*
Have you worked under a different name?*
- Yes
- No
If yes, what name did you use?*
Who were you referred by?

Employment History
Please list the names of your previous employers in chronological order with present or last employer first. Be sure to account for off periods of time including military service and any period of unemployment. If you were self employed, give the business name and supply business references. Attach extra pages if necessary.
Present or Last Employer:
Present or Last Employer Address:
Street Address Address Line 2 City State ZIP Code
Employed From:

Month & Year
Employed To:

Month & Year
Salary Start Amount ($):
Salary Final Amount ($):
Your Title or Position:
Name of Last Supervisor:
Reason for Leaving:
Second Employer:
Second Employer Address:
Street Address Address Line 2 City State ZIP Code
Employed From:

Month & Year
Employed To:

Month & Year
Salary Start Amount ($):
Salary Final Amount ($):
Your Title or Position:
Name of Last Supervisor:
Reason for Leaving:
Third Employer:
Third Employer Address:
Street Address Address Line 2 City State ZIP Code
Employed From:

Month & Year
Employed To:

Month & Year
Salary Start Amount ($):
Salary Final Amount ($):
Your Title or Position:
Name of Last Supervisor:
Reason for Leaving:

References
Please list professional references who are familiar with the quality of your work, have worked directly with you, and have known you for at least two years.
Name of Reference #1:
First Last
Occupation:
Relationship:
Phone:
Years Known:
Name of Reference #2:
First Last
Occupation:
Relationship:
Phone:
Years Known:
Name of Reference #3:
First Last
Occupation:
Relationship:
Phone:
Years Known:
Name of Reference #4:
First Last
Occupation:
Relationship:
Phone:
Years Known:
Please explain any gaps in your employment history:
May we contact your most current employer?
- Yes
- No

Signature and Consent Release
I hearby state that all the information that I provided on this application is true and correct.
Digital Signature of Applicant:*
First Last
*
- I certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquires may be made on me including previous employers, schools, criminal convictions, motor vehicle and other reports. These reports will include information as to my character, work habits, performance, education, compensation, and experience along with reasons for termination of employment from previous employers. I hereby consent to obtaining the above information from previous employers and other authorized agents. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.
Attach Your Resume or Additional Work History Pages (optional)
Accepted file types: jpg, gif, png, pdf, Max. file size: 300 MB.

Merton Auto Online Application

Step 1 of 6

Personal Details

Education & Other

Employment History

References

Work Experience

Signature and Consent Release