application.htm

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Employment Opportunities


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.


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541-683-6475

Small is in the name not in the service