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Address*

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Preferred Phone Number*

Email*

Are you 18 years of age or older?*

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Can you lawfully become employed in this country?*

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Do you have a valid driver's license?*

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Do you have reliable transportation?*

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Employment Desired

Position Desired*

Date You Can Start*

Salary Expectations*

Have you applied to Peña's Mechanical before?*

Yes
No

When did you apply to Peña's Mechanical?

Did anyone refer you?

Education

High School Name

High School Location

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years Attended

Did you graduate?

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College Name

College Location

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Years Attended

Did you graduate?

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Subjects / Major(s)

Trade School / Professional Training Program Name(s)

Trade School / Professional Training Program Location(s)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years Attended

Did you graduate?

Yes
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Subjects / Major(s)

Current / Former Employment

Are you currently employed?*

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If so, may we contact your current employer?

Yes
No

First Former Employer Name

First Former Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Employment Started

Date Employment Ended

Position

Salary

Second Former Employer Name

Second Former Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Employment Started

Date Employment Ended

Position

Salary

Third Former Employer Name

Third Former Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Employment Started

Date Employment Ended

Position

Salary

Which of the above jobs did you like best? Why?

References

First Reference Name

First Last

First Reference Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

First Reference Phone Number

Years Acquainted

Business / Relationship

Second Reference Name

First Last

Second Reference Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Second Reference Phone Number

Years Acquainted

Business / Relationship

Additional Information

Special Skills

Activities (Civic, Athletic, etc.)

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