A Quality Transmission

To apply for a position with our transmission repair service shop please complete the form below. Once submitted your employment application will be submitted to our transmission shop staff and we will reply as soon as possible - usually within 24 hours.

Employment Application

Personal Information
Desired Position*:
First Name*:
Last Name*:
Address*:
City*:
State*: Zip*:
Contact Tel.*:
Email:
Under 18 Only:Age: Date of Birth
US Work Eligibility?*:
Employment Type*:
Referal Source*:
Hours Per Week*:
Reliable Transportation?*:
Desired Starting Date:
Education Information
Last Complete Grade*:
Name of Last School*:
Graduation Date?*:
Attending School Now?: If yes, where?:
Vocational/Tech Training?: If yes, where?:
Military Experience
Prior US Armed Services: If yes, when?:
Employment History
Please supply us with your employment history, beginning with the most recent first.
Employer One Information
Employer Name:
Supervisor:
Telephone:
Position Held:
Employed: to
Description of Duties:
Reason for Leaving:
Employer Two Information
Employer Name:
Supervisor:
Telephone:
Position Held:
Employed: to
Description of Duties:
Reason for Leaving:
Employer Three Information
Employer Name:
Supervisor:
Telephone:
Position Held:
Employed: to
Description of Duties:
Reason for Leaving:
May we contact your current employer?*:
May we contact your former employers?*:
References
Please supply us with 2 references.
Reference One Information
Name*:
Address*:
City*:
State*: Zip*:
Contact Tel.*:
Reference Two Information
Name*:
Address*:
City*:
State*: Zip*:
Contact Tel.*:
Skills, honors, and experiences providing additional information concerning employment qualifications:
The information I have provided on this employment application form is true, correct, and complete. I understand that if I am employed at this place of business, any mis-statements or omissions could result in my employment termination.
I AGREE

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