Gibbs Paint & Body
210 Commerce Dr.
Abilene, Texas 79603
325-672-8972
EMPLOYMENT APPLICATION
An equal opportunity employer.
PERSONAL
Name
(Last)
(First)
(Middle)
Address
(Street)
(City)
(State)
(Zip Code)
Telephone
(Area Code)
Social Security Number
Driver's License Number
State
Expiration Date
Have you ever been convicted of a felony in the last seven years?
Yes
No
Explain Felony
Are you a citizen of the United States?
Yes
No
JOB INTERESTS/SKILLS
Position(s) applied for
Salary Desired
Have you applied for a position here before?
Yes
No
If yes, when?
Type of employment requested
Full Time
Part Time
Temporary
Summer
Date you could begin working
Typing Speed (WPM)
Summarize any other special skills or qualifications
EDUCATION
TYPE OF SCHOOL
NAME AND LOCATION
COURSE OF STUDY
# OF YEARS
GRADE AVERAGE
MAXIMUM GRADE
DEGREE, DIPLOMA, CERTIFICATE AND HONORS RECEIVED
HIGH SCHOOL
COLLEGE OR UNIVERSITY
OTHER EDUCATION
OTHER EDUCATION
EMPLOYMENT HISTORY (LIST MOST RECENT FIRST)
1. Name of Employer
Address
(Street)
(City)
(State)
(Zip Code)
Supervisor and Title
Your Title
Employed From
To
Starting Salary
Ending Salary
Work Performed
Reason for leaving
2. Name of Employer
Address
(Street)
(City)
(State)
(Zip Code)
Supervisor and Title
Your Title
Employed From
To
Starting Salary
Ending Salary
Work Performed
Reason for leaving
3. Name of Employer
Address
(Street)
(City)
(State)
(Zip Code)
Supervisor and Title
Your Title
Employed From
To
Starting Salary
Ending Salary
Work Performed
Reason for leaving
REFERENCES
Name
Relationship
Home Phone
Daytime Phone
ACKNOWLEDGEMENT
I certify that the answers given by me in this application are correct to the best of my knowledge. I understand that any falsification of this application, whether willingly or accidental, is grounds for disqualification of employment consideration, or dismissal from employment if I am hired. I authorize the company to contact any and all of the references I have listed above to obtain previous employment information or any other pertinent information that they may have. Further, I release the above mentioned references from any and all liability for any damages that may result from information collected by this company. Verification of eligibility to work in the United States must be satisfied for an offer to be made.
Applicant's Signature
Date

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