General Application

General Employment Application

PLEASE NOTE: If you are intending to apply for a commercial driving position
please fill out our Drivers Application Steps one and two. You can find these
on our employment page.

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number *
Email
Date Available to start? *

Salary Requirements: *

Social Security Number *

If you are under 18 and require and work permit, can you funish one? *
YES NO I'm over 18

If no please explain:

Have you ever worked for Star Collision Center of Star Body Works? *
Yes No
If yes when?

Are you a citizen of the United States? *
YES NO

If no, are you legally allowed to work in the United States? *
YES NO

Type of employment desired: *
Full-time
Part-time
Temporary Seasonal

Have you ever pled "guilty," or "no contest," or been convicted of
a crime? (Answering "yes" does not consitute an automatic rejection for employment.) *
YES NO

If yes please explain

Education

High School and City/State *

Did you graduate? *
YES NO

GPA

College

Did you graduate? *
YES NO

Major

Other education

References:
Name * First Last
Phone Number *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name * First Last
Phone Number *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Summarize Your Specail Skills or Qualifications *
Employment History
Company
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number *
Contact Person * First Last
From * MM / DD / YYYY Pick a date.
TO * MM / DD / YYYY Pick a date.
Position Held *
Reason for leaving *
May we contact this employer for a reference? *
YES NO
Company *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number *
Contact Person * First Last
From * MM / DD / YYYY Pick a date.
TO * MM / DD / YYYY Pick a date.
Position Held *
Reason for leaving *
May we contact this employer for a reference? *
YES NO
Company *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number *
Contact Person * First Last
From * MM / DD / YYYY Pick a date.
TO * MM / DD / YYYY Pick a date.
Position Held *
Reason for leaving *

May we contact this employer for a reference? *
YES NO

I certify that my answers are true and complete to the best of my knowedge. I authorized Star
Collisions Centers Inc. to make such investigations and inquiries of my personal, employment,
educational, financial, or medical history and other related matters as may be necessary for
an employment decision. By checking "I agree to the above terms below," I herby release employers,
schools or persons from liability when reponding to inquiries in conection with my application.
In the event I am employed, I understand that false or misleading information given in my
application or interview(s) may result in discharge. *

I agree to the above terms.