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All Trans Remanufacturing Employment Application
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Applicant Information
Name
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First
Last
Date
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Position Applied For
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Customer Service Representative
Shipping & Receiving
Transmission Builder
Valve Body Assembly
Parts Washer/ Disassembly
Parts/ Inventory
Maintenance/ Janitor
Are you able to work overtime?
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Yes
No
Are you a citizen of the United States?
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Yes
No
If no, are you authorized to work in the U.S?
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Yes
No
Phone Number
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Email
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Date Available
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Desired Salary
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Have you ever worked for this company?
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Yes
No
If so, when?
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Have you ever been convicted of a felony?
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Yes
No
If yes, explain:
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Education
High School
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From
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To
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Did you graduate?
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Yes
No
Certificate Received:
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High School Diploma
G.E.D
Address
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College
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From
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To
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Did you graduate?
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Yes
No
Degree
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Address
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Other
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From
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To
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Did you graduate?
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Yes
No
Certificate Received:
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Address
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References
Please list three professional references.
Full Name
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Company
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Relationship
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Address
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Phone Number
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Full Name
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Company
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Relationship
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Address
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Phone Number
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Full Name
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Company
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Relationship
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Address
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Phone Number
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Previous Employment
Company
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Phone Number
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Address
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Supervisor
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Job Title
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Starting Salary
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Ending Salary
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Responsibilities
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From
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To
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Reason for Leaving
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May we contact your previous supervisor for a reference?
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Yes
No
Company
*
Phone Number
*
Address
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Supervisor
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Job Title
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Starting Salary
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Ending Salary
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Responsibilities
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From
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To
*
Reason for Leaving
*
May we contact your previous supervisor for a reference?
*
Yes
No
Company
*
Phone Number
*
Address
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Supervisor
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Job Title
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Starting Salary
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Ending Salary
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Responsibilities
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From
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To
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Reason for Leaving
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May we contact your previous supervisor for a reference?
*
Yes
No
Upload Resume (Optional)
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Max file size: 20MB
If you have a resume or other certifications, please upload it here.
Military Service
Branch
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From
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To
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Rank at Discharge
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Type of Discharge
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If other that honorable, explain
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Disclaimer and e-Signature
I certify that my answers are true and complete to the best of my knowledge. I certify that the e-signature is signed by the applicant.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
e-signature
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SIGNED BY APPLICANT ONLY. This e-signature, or electronic signature is equivalent to a hand written signature and is a valid form of signing.
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