Automotive Innovations Inc.

Personal Information

Employement Desired

Position 1			Position 2
Starting Date			Desired Salary
Are you currently employed? yes no
If yes, may we contact your employer? yes no
Can you, at the time of employment, submit verification of your legal right to work in the United States? yes no

Education

Please Answer the following:

Why are you interested in becoming an employee with Automotive Innovations?

What are your carreer goals?

Where did you get the information about the position?

Employment History - list most recent first
Company Name	Supervisor	Last Position
Address	Telephone #
City	State	Zip Code
Responsibilities
Dates of Employment
Reason for Leaving

Company Name	Supervisor	Last Position
Address	Telephone #
City	State	Zip Code
Responsibilities
Dates of Employment
Reason for Leaving

Company Name	Supervisor	Last Position
Address	Telephone #
City	State	Zip Code
Responsibilities
Dates of Employment
Reason for Leaving

Company Name	Supervisor	Last Position
Address	Telephone #
City	State	Zip Code
Responsibilities
Dates of Employment
Reason for Leaving

References - List 3 individuals [not related to you] who are familiar with your work-related skills
Name	Name of Company	Company Address	Telephone #	Years Acquainted

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