Position Applying For (you must select a
position before completing application)
Personal Information
Last Name
First Name
Middle Initial
Address
City
State
Country
Zip Code
Home Phone
Business Phone
For verification purposes,
please provide name (s) under which educational and/or
employment information/record are maintained (if different
from above):
Are you authorized to work in
the U.S. ?
Have you ever been convicted of
a felony within the last ten (10) years? (A
conviction will not automatically disqualify you for a
position
If you answered yes to the
question above please provide the following info:
City:
State:
Date:
Do you have any relatives blood
or by marriage, working for Small World Auto Center, Inc. or
Eugene Service Parts
If you answered yes to the
question above please provide the following info:
Name:
Relationship:
Have you ever applied for
employment with Small World Auto Center, Inc. or Eugene
Service Parts
If you answered yes to the
question above please provide the following info:
Year:
Month:
Salary Desired
Date Available:
Are you available for work?
(check all that apply)Full-Time
Part-Time
Temp
Overtime
Are you ASE certified
Do you possess a valid drivers license?
Commercial Type:
What
languages) do you speak, read or write? Please grade your
proficiency on a scale of 1-4. 1 is minimal, and 4 is
fluent.
Language
Read
Write
Speak
U.S. Military
Service
Date:
Branch
Highest Rank:
Grade:
Duties:
Special Training:
Education Information
School
Name and
Address of School
Course of
Study
Last Year
Completed
Did You
Graduate
List
Diploma or Degree
High School
Business or Technical School
College
College
Graduate Study
Special Training
Academic Honors
Scholastic Activities
Are you taking courses
Referral
Source.
How were you referred to Small World Auto
Center, Inc ?
Have you ever been terminated or
forced to resign from a job?
If yes supply details.
Employer:
Reason:
Employment History Please begin with present or most recent employer, list
summer and temporary employment , please enter all
information, and DO NOT REFER TO RESUME.
I. Employer
Phone
Ext.
Address
City
State
Dates
Title
End Salary
Beginning Salary
Other Compensation
(Bonuses)
Briefly describe
your duties, accomplishments and skills in 255 characters or
less:
II. Employer
Phone
Ext.
Address
City
State
Dates
Title
End Salary
Beginning Salary
Other Compensation
(Bonuses)
Briefly describe your duties,
accomplishments and skills in 255 characters or less:
III. Employer
Phone
Ext.
Address
City
State
Dates
Title
End Salary
Beginning Salary
Other Compensation
(Bonuses)
Briefly describe
your duties, accomplishments and skills in 255 characters or
less:
IV. Employer
Phone
Ext.
Address
City
State
Dates
Title
End Salary
Beginning Salary
Other Compensation
(Bonuses)
Briefly describe
your duties, accomplishments and skills in 255 characters or
less:
The
information provided in this Application for Employment is true,
correct, and complete. I authorize inquiries to be made on the
information contained in this application. I understand that
misrepresentation, falsification, or omission of facts will be
cause for cancellation of consideration for employment, or,
dismissal if employed. I understand that employment is
conditioned upon a favorable employment references,
education verifications, motor vehicle record checks and drug
screening analysis. In the event I refuse to participate in the
drug screening analysis, or should the test results be positive,
I will be terminated from or denied employment. The results of
the drug screen will remain confidential between Small world
Auto Center, Inc. and myself. I understand that acceptance of an
offer of employment creates an at-will employment relationship,
and, does not create a contractual obligation upon Small world
Auto Center, Inc. to continue to employ me in the future.
I hold persons giving such information harmless and free of any
and all liability that could result from this process.
