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Employment Application

 Personal Information
       
Name (Required)
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Address
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State
Zip
Phone
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Are you a U.S. citizen or an alien authorized to work in the U.S.? 
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Are you at least 18 years of age? 
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Have you ever been convicted of a crime? 
If Yes, describe the nature of the conviction here:
 Please list the hours you are available:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
 Date you can start:

 Education:
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 High School
High School Name and Location
Number of Years Attended
Major Subject Studied
Yes   No   Did you graduate?
 College
College School Name and Location
Number of Years Attended
Major Subject Studied
Yes   No   Did you graduate?
 Other School Attended
Other School Name and Location
Number of Years Attended
Major Subject Studied
Yes   No   Did you graduate?
 List any special skills that pertain to the position for which you are applying

Employment History... most recent first
 Position 1
Company
Street address
City State Zip
Phone number
Supervisor
Position held
Responsibilities
Starting Date month/year
Ending Date month/year
Starting salary and position
Ending salary and position
Reason for leaving
Yes   No    May we contact this employer for a reference?

 Position 2
Company
Street address
City State Zip
Phone number
Supervisor
Position held
Responsibilities
Starting Date month/year
Ending Date month/year
Starting salary and position
Ending salary and position
Reason for leaving
Yes   No    May we contact this employer for a reference?

 Position 3
Company
Street address
City State Zip
Phone number
Supervisor
Position held
Responsibilities
Starting Date month/year
Ending Date month/year
Starting salary and position
Ending salary and position
Reason for leaving
Yes   No    May we contact this employer for a reference?
We are an equal opportunity employer.
 

Frank Brown Auto Service   I   899 Kenmore Ave. Buffalo, NY 14223   I   Fax: 716-877-6863
Repair Service: 716-875-7030   I   Towing & Storage: 716-875-3101
 
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