Roger's Auto Body

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Have You Ever Been Convicted of a Felony?*

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If Selected For Employment Are You Willing To Submit to a Pre-Employment Drug Screening Test?*

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Position

Position You Are Applying For:*

Collision Repair TechnicianDetailerEstimator/WriterMaintenance

Available Start Date:*

Employment Type Desired:*

Full TimePart TimeSeasonal/Temporary

Education

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School Two

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School Three

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References

Reference One*

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Reference Two

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Reference Three

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Employment History

Employer (1)*

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Employer (2)

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Employer (3)

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Employer (4)

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Employer (5)

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Signature Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.*

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