Express Autobody Employment Application

We expect you to turn in a copy of your resume along with this application. Failing to do so will result in the discardment of your application.

There are several ways that you can turn in your resume and application in to us. You can either:

a.) Print this form, fill it out, and fax it to us at (512) 869-4534

b.) Copy and paste this document into word, fill it out, and attach it in an e-mail as a ".doc" file (no ".docx" files allowed) and send it to chamby1@verizon.net

c.) Mail it in to 60312 Westinghouse Rd. Georgetown, TX 78626

d.) Drop it off at our front office. If you choose to do this please understand that you will not be given an interview at that time. It is only after we have reviewed applications and resumes that we schedule a potential Employee in for an interview.

We consider applicants for all positions on the basis of qualifications and without regard to race, color, religion, sex, national origin, age, marital status, veteran status, disability, sexual orientation, use of lawful products during non-work hours and any other legally protected status.

Position(s) applied for:

Date of application:

How did you learn about the company?
Advertisement	Friend	Walk-in
Recruiting Firm	Current employee	Other:

Last Name:

First Name:

Address:	City:	State:	Zip:

Cell Phone:	Home Phone:	Social Security Number:

Are you available to work:	Yes	No	Hours
Regular Full Time	Yes	No
Regular Part Time	Yes	No
Temporary	Yes	No

If you are under 18 years of age, can you provide required proof of your eligibility to work?	Yes	No
Have you ever submitted an application with this company before?	Yes	No
If so, please give date:
Have you even been employeed with the company before?	Yes	No
If so, please give date:
Are you currently employed?	Yes	No
May we contact your present employer for references?	Yes	No
Are you legally qualified to work in the United States?	Yes	No
Have you ever been convicted of a felony?	Yes	No
On what date will you be available for work?

Education	High School				College				Other
School Name/Location
Years Completed	9	10	11	12	1	2	3	4	1	2	3	4
Diploma Degree	Yes No				Yes No
Major Course(s)

Summarize special skills and training not listed above:

Describe honors received:

List professional, trade, business, or civil activities and offices held. You may exclude memberships which may reveal sex, race, religion, national origin, age, or disability or other protected status:

References

Give name, address, and telephone number and e-mail of three business references who are not related to you. (You may attach a separate sheet)

Employment Experience

Start with your present or most recent position. If information is already on your resume, fill in only those items not listed on your resume (i.e. reason for leaving, salary, etc.).

Employer	Dates Employed		Work performed
Address	From	To

Telephone number	Base Pay
Job Title	Start	Final

Reason for leaving

Employer	Dates Employed		Work performed
Address	From	To

Telephone number	Base Pay
Job Title	Start	Final

Reason for leaving

Employer	Dates Employed		Work performed
Address	From	To

Telephone number	Base Pay
Job Title	Start	Final

Reason for leaving

If you need additional space, please continue on a separate sheet

Special Skills and Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience.

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.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at wil" 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 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.

Signature of Applicant:_____________________________________

Date:________________