Employment Form

APPLICATION FOR EMPLOYMENT AT SULLIVAN'S

Please completely fill out the form below. We will then call you as soon as we review it. Thank you very much.

Personal Information

Name:

Social Security Number:

Address:

Phone Number:

Email address:

Employment Desired

Position:

Mechanical Repair Shop	Body Shop
Technician - Entry Level	Painter
Technician - Intermediate Level	Helper
Technician - Master Technician	Body/Frame Repair
Service Advisor	Estimator
Driver/Front Counter Assistant	Office/Admistrative
Office/Administrative
Management

Date you can start	Salary Desired
Are you currently employed? Yes No	If so, may we contact your present employer? Yes No
Ever applied to this company before? Yes No	When? (Month/Year)

Education	Name and location of school	Years attended (month/year)	Date graduated (month/year)	Subjects studied
High School		to
College		to
Vo-tech.		to

Technical Clinics Attended: Factory Training, Parts Manufacturers, Aftermarket, etc.

Subject or Course Title	Date(month/year)	Place(city)

ASE Certifications: I am currently certified in...

AUTO:	Expiration Date (month/year)	TRUCK:	Expiration Date (month/year)
Engine Repair		Gasoline Engines
Engine Performance		Diesel
Auto Trans./transaxle		Drive Train
Brakes		Brakes
Electrical System		Electrical Systems
Manual drive train & axles		Suspension & steering
Front End		BODY/PAINT:
Heating & air conditioning		Body Repair
Advanced Engine Performance(L1)		Painting/Refinishing

Physical Record:

Do you have any physical condition that affects your ability to perform any of the duties for any position for which you are being considered? Yes No

If yes, please explain.

Employment Record: (List below your most recent employers starting with your most recent job.)

Date (Month/Year)	Name and address of employer	Salary	Position	Reason for leaving
From
to
From
to
From
to
From
to

References:
Give below the names of three people not related to you, whom you have known at least one year.

Name	Address	Business	Years Known

I authorize you to contact my former employers and references given above and to investigate the information I have provided in this application. I represent that I have fully and accurately answered each question. I understand misrepresentation or omission of material facts in this application may result in rejection of this application or discipline, including termination of my employment. I also acknowledge that if I am employed, such employment will be at the will of my employer for no definite period and I may be dismissed without cause, persuant to applicable law.