Applicant Information

Full Name:*

Date:*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone:*

Email*

Are you legally authorized to work in the United States?*

Yes

Position Information

Position Applied For:*

Date Available:*

Desired Salary:

Education

High School/GED

Institute:*

City/State:*

College/University

Has graduate level of education:*

Yes

Graduation/Attendance Dates:*

College/University:*

Field(s) of Study:*

Degree Received:*

Yes

Date*

Postgraduate

Has postgraduate level of education:*

Yes

Postgraduate Institution*

Field(s) of Study*

Degree Received:*

Yes

Dates Attended:*

Work Experience (Attach résumé if preferred)

Employer 1

Name*

Phone:*

Job Title/Position:*

Dates Employed:*

Responsibilities:*

Reason for Leaving:*

May we contact this employer?*

Yes

Employer 2

Name*

Phone:*

Job Title/Position:*

Dates Employed:*

Responsibilities:*

Reason for Leaving:*

May we contact this employer?*

Yes

Employer 3

Name*

Phone:*

Job Title/Position:*

Dates Employed:*

Reason for Leaving:*

May we contact this employer?*

Yes

Military Service (if applicable)

Have you ever served in the military?*

Yes

Branch:*

From:*

To:*

Rank at Discharge:*

Type of Discharge:*

If other than honorable, please explain:*

Professional References

(Please list three professional references, preferably former supervisors or colleagues.)

Reference 1

Name:*

Phone:*

Relationship:*

Reference 2

Name:*

Phone:*

Relationship:*

Reference 3

Name:*

Phone:*

Relationship:*

Have you ever been convicted of a felony offense?*

Yes

A conviction will not automatically disqualify you. Factors such as age and nature of the offense, time since conviction, and relevance to the job will be considered in accordance with Michigan’s Clean Slate Law.

If yes, please explain:*

This position is contingent upon successful completion of a pre-employment drug screen and background check. By submitting this application, you acknowledge that: • You may be required to undergo a drug screen as a condition of employment. • You will be asked to complete and sign a separate background check authorization form, which complies with the federal Fair Credit Reporting Act (FCRA). • Employment is contingent upon results that are satisfactory to Harbor Hall and consistent with applicable laws and policies.

File*

Accepted file types: jpg, jpeg, jpe, gif, pdf, docx, docm, pptx, odt, odp, ods, odc, odf, wp, wpd, pages, Max. file size: 128 MB.

Applicant Statement and Signature

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information provided in this application or during the interview process may result in disqualification or, if hired, termination of employment. I authorize Evolve Auto Service to verify the information provided and to contact references and previous employers (unless otherwise noted). I understand this application is not a contract or guarantee of employment.

Signature*

Date*

Careers

Evolve Auto Service

Application form

Applicant Information

Position Information

Education

High School/GED

College/University

Postgraduate

Work Experience (Attach résumé if preferred)

Employer 1

Employer 2

Employer 3

Military Service (if applicable)

Professional References

Reference 1

Reference 2

Reference 3

Applicant Statement and Signature

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