Barry's Paint Shop Employment Application

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Have you been convicted of a crime within the past 12 months? *YesNo

Are you 18 or older? *YesNo

For what position are you applying? *

Salary desired:

perhourweekmonthyear

Applying for *Part-timeFull-time

Are there any reasons you wouldn't be able to work full time? *YesNo

Are you able to work overtime? *YesNo

Because you may be asked to drive company or customer vehicles and to have the ability to do so safely and legally, therefore a completed DRIVER QUESTIONAIRE is required for verification and to validate this application.

Do you hold a valid PA driver's license? *YesNo

FOR NON-EXPERIENCED OR WITH LIMITED EXPERIENCED APPLICANTS: Due to the high costs of job training for repairing today’s complex vehicles, you may be asked to sign a Non-Compete Agreement.

In an effort to give our customers exceptional service and dependability, we depend heavily on each other to work as a team.

High School

Name

City

Years Completed

Major/Subject

GPA

College

Name

City

Years Completed

Major/Subject

GPA

Graduate School

Name

City

Years Completed

Major/Subject

GPA

List any certificates earned or in progress, and/or any additional training programs not included in your formal education.

List any Professional Affiliations to which you belong (please do not list activities which would indicate age, sex, color, race, creed, national origin, religion, marital status, sexual orientation, political belief, or disability):

List any other skills you have relevant to the job:

Previous Job Experiences

List your current or most recent employment first. Include work related internships, military and volunteer work.

Previous Job

Company Name *

City/State *

Phone *

Position Held *

Date Employed From: *

Date Employed To: *

May we contact your employer? *YesNo

Salary: *

Per *

Supervisor's Name & Title *

What will this employer say was the reason you left their company: *

How much notice did you give this employer you were leaving their company? *

Professional References

Reference

Name *

Title *

Professional Relationship

Phone *

Company *

I hereby authorize this Company to contact any of the companies I have listed above regarding my previous employment and the professional references I have given.

Initials of Applicant: *

Date of Form Submission *

Applicant's Signature/Commercial Driver Signature *

I certify that I have given true and complete answers to the above questions.You have my permission to obtain a copy of my motor vehicle driving record for purposes of determining my eligibility for coverage under this policy.

Job Application

Personal Information

Position Desired

Because you may be asked to drive company or customer vehicles and to have the ability to do so safely and legally, therefore a completed DRIVER QUESTIONAIRE is required for verification and to validate this application.

FOR NON-EXPERIENCED OR WITH LIMITED EXPERIENCED APPLICANTS: Due to the high costs of job training for repairing today’s complex vehicles, you may be asked to sign a Non-Compete Agreement.

In an effort to give our customers exceptional service and dependability, we depend heavily on each other to work as a team.

Education

Skills

Previous Job Experiences

List your current or most recent employment first. Include work related internships, military and volunteer work.

Professional References

I hereby authorize this Company to contact any of the companies I have listed above regarding my previous employment and the professional references I have given.