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Desired Salary:
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Are you available for full time employment?
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Are you able to perform the functions of this job with or without reasonable accommodation?
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Have you ever worked for Auto Trakk before?
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If yes, when?
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Have you ever applied to Auto Trakk before?
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Have you been discharged or fired from any job that you have held within the past 10 years?
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Education
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Please list three professional references.
Reference 1
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Years Known:
Reference 2
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Full Name:
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Address:
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Years Known:
Reference 3
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Phone:
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Address:
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Years Known:
Previous Employment
Previous Employer 1
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Address:
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Supervisor:
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Job Title:
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Ending Salary:
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From:
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To:
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Reason for Leaving:
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Responsibilities:
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May we contact your previous supervisor for a reference?
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Previous Employer 2
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Previous Employer 3
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Supervisor:
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Previous Employer 4
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Disclaimer and Permissions
By submitting this application electronically, I certify that my answers are true and complete to the best of my knowledge. If this application
leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I authorize the verification of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment any pertinent information they may have, personal or otherwise, and release Auto Trakk from all liability for any damage that may result from utilization of such information.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
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