Yates Automotive Inc. - Employment Application

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Yates

Employment Application

Date

Personal Information

Name

First Name

Last Name

Social Security No.

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone No.

Secondary Phone No.

Referred By

First Name

Last Name

Employment Desired

Position

Date You Can Start

Salary Desired

Are you employed now?

Yes No

May we inquire of your present employer?

Yes No

Ever applied to this company before?

Yes No

Where

When

Education History

High School

Name of School

Location of School

Years Attended

Did you graduate?

Yes No

Subjects Studied

College

Name of School

Location of School

Years Attended

Did you graduate?

Yes No

Subjects Studied

Trade, Business, or Correspondence School

Name of School

Location of School

Years Attended

Did you graduate?

Yes No

Subjects Studied

General Information

Subject of Special Study/Research Work

Special Training

Special Skills

U.S. Military or Naval Service

Rank

Former Employers

List below last four employers, starting with last one first.

Employer 1

From

Date, Month, and Year

Name of Employer

Address of Employer

Address Line 1

Address Line 2

City

State

ZIP Code

Salary

Position

Reason for Leaving

Employer 2

From

Date, Month, and Year

Name of Employer

Address of Employer

Address Line 1

Address Line 2

City

State

ZIP Code

Salary

Position

Reason for Leaving

Employer 3

From

Date, Month, and Year

Name of Employer

Address of Employer

Address Line 1

Address Line 2

City

State

ZIP Code

Salary

Position

Reason for Leaving

Employer 4

From

Date, Month, and Year

Name of Employer

Address of Employer

Address Line 1

Address Line 2

City

State

ZIP Code

Salary

Position

Reason for Leaving

References

Give below the names of three persons not related to you, whom you have known at least one year.

Reference 1

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Business

Years Known

Reference 2

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Business

Years Known

Reference 3

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Business

Years Known