Employment Application
Referred To:___________________
Applicant Information
Full Name:
Date:
Last
First
M.I.
Address:
Phone:
Street Address
Apartment/Unit #
City
State
(
)
E-mail Address:
Date Available:
Desired Salary:
$
Social Security:
How many hours per week are you available?
Position Applied for:
YES
NO
Are you a citizen of the United States?
Have you ever been convicted of a felony?
High School:
YES
If no, are you authorized to work in the U.S.?
YES
NO
YES
NO
Have you ever worked for this company?
If yes, when?
If yes, explain:
Education
City, State:
YES
From:
To:
College:
Degree:
City, State:
To:
Other:
NO
Did you graduate?
Degree:
City, State:
YES
From:
NO
Did you graduate?
YES
From:
ZIP Code
To:
Did you graduate?
NO
Degree:
References
Please list three professional references.
Full Name:
Relationship:
Company:
Full Name:
Company:
(
)
Phone:
(
)
Phone:
(
)
Relationship:
Company:
Full Name:
Phone:
Relationship:
NO
Previous Employment
Company:
Phone:
Address:
(
)
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
If no,
please
May we contact this employer for a reference?
explain:
Company:
Phone:
Address:
(
)
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
If no,
please
May we contact this employer for a reference?
explain:
Company:
Phone:
Address:
(
)
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
If no,
please
May we contact this employer for a reference?
explain:
Military Service
Branch:
From:
Rank at Discharge:
To:
Type of Discharge:
If not Honorable, please explain:
Additional Comments (Optional)
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If I am employed by Chattanooga Auto Auction, I understand that this application will become part of my permanent
personnel file and that any false or misleading statements given may result in termination.
Signature:
Date:
PLEASE TAKE A FEW MINUTES TO REVIEW THE INFORMATION YOU HAVE SUBMITTED.
CANDIDATES WITH INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED FOR EMPLOYMENT.