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    To be considered for a position with Grab and Go Auto Salvage please complete the application below. It will be forwarded to the HR manager.

    Job(s) Applying For:
    PERSONAL INFORMATION

    Name (required)

    Address (required)

    Telephone (required)
    Email Address (required)

    This application form is intended for use in evaluating your qualifications for employment. Please answer all appropriate questions completely and accurately. All applicants will receive consideration without regard to race, national origin, sex, religion, disability, age or any other prohibited basis of discrimination under applicable state or federal law. Federal law obligates us to provide reasonable accommodations to the known disabilities of applicants and employees, unless to do so would pose an undue hardship. Please feel free to let us know if you need an accommodation to complete the application process or to perform any essential elements of the position sought. Testing of job-related skills and for the presence of drugs in your body may be required prior to employment. Grab & Go may make employment decisions on the basis of an applicant's criminal history depending on the position sought and the nature of the applicant's criminal history (including the recency, severity, and relationship of any legal violations to the position sought). After a conditional offer of employment, and prior to reporting to work, applicants are required to submit to a medical review which includes completing a medical inquiry form and/or a medical examination. By signing below, you indicate that you are at least 18 years old and legally eligible for employment in this country.

    AVAILABILITY

    For which schedules are you available?
    WeekdaysWeekendsOvertimeDayshiftNightshift

    Have you ever worked for this company?
    YesNo

    If yes, when?

    Are you legally eligible for employment in this country? (Proof of U.S. Citizenship or immigration status will be required upon employment.)
    YesNo

    Date Available for Work:

    Type of employment desired:
    Full TimePart TimeOther
    If other, please describe:

    Have you been convicted of a crime in the last seven (7) years? (Such a conviction may be relevant if job-related but does not necessarily bar you from employment. The recency, severity and relationship of the conviction to the job for which you have applied will be considered.)
    YesNo

    If yes, please describe

    List the states and counties of residence in the past seven (7) years:

    SECURITY

    Have you used any names other than those on this page? YesNo
    If yes, please list and explain:

    JOB DUTY INFO

    Have you been given a job description or had the requirements of the job explained to you? YesNo

    Do you understand these requirements? YesNo

    Are you qualified to perform all of the essential functions of this job with or without accommodations? YesNo

    If the job requires, do you have the appropriate valid driver's license? YesNo

    DL#
    Type
    State of Issue

    Have you had any moving violations within the last five (5) years: YesNo

    Please describe

    Please list any other licenses or certificates that may be job related or that you feel would be of value to this job or company.

    Employment History

    List your past employers starting with the most recent, including military.

    Employer 1 (required)
    Start Date
    End Date
    Employer
    Employer Address
    Phone Number
    Job Title
    Immediate Supervisor & Title
    Summarize the Nature of the Work Performed and Job Responsibilities
    Reason for Leaving
    Starting Wage
    Final Wage
    Employer 2
    Start Date
    End Date
    Employer
    Employer Address
    Phone Number
    Job Title
    Immediate Supervisor & Title
    Summarize the Nature of the Work Performed and Job Responsibilities
    Reason for Leaving
    Starting Wage
    Final Wage
    Employer 3
    Start Date
    End Date
    Employer
    Employer Address
    Phone Number
    Job Title
    Immediate Supervisor & Title
    Summarize the Nature of the Work Performed and Job Responsibilities
    Reason for Leaving
    Starting Wage
    Final Wage
    Employer 4
    Start Date
    End Date
    Employer
    Employer Address
    Phone Number
    Job Title
    Immediate Supervisor & Title
    Summarize the Nature of the Work Performed and Job Responsibilities
    Reason for Leaving
    Starting Wage
    Final Wage
    Education

    High School Name and Location

    Years Completed
    9101112

    Did you graduate?
    YesNo

    Course of Study

    College and Location

    Years Completed

    Did you graduate?
    YesNo

    Course of Study

    Other:

    SKILLS & QUALIFICATIONS

    Summarize special skills and qualifications acquired from employment or other experiences that may qualify you for work with us.

    REFERENCES

    Include any individuals familiar with your work ability. Do NOT include relatives.

    Reference 1
    Full Name
    Address
    Phone
    Years Known/Relationship
    Reference 2
    Full Name
    Address
    Phone
    Years Known/Relationship
    Reference 3
    Full Name
    Address
    Phone
    Years Known/Relationship

    Comments

    I certify that I have read and understand the "applicant read" section on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application, rescinding an offer, or discharge at any time during my employment. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I understand that this application is not a contract of employment. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice and I understand that no representative of the Employer has the authority to make assurances to the contrary, other than in a written contract signed by the President of the Company.

    Attach resumé (accepted file types: pdf, doc and docx)