Battery JoeEmployment Application Date* MM slash DD slash YYYY Name* First Last Cell Phone Number* Home Phone Number Street Address* Address Line 2 City* State / Province / Region* Driver's License Number* Employment HistoryCompany #1Company #1 Name City & State Zip Code Company #1 Phone Number Starting Date of Employment Ending Date of Employment Position Held Supervisor's Name Starting Pay Ending Pay Reason For LeavingCompany #2Company #2 Name City & State Zip Code Company #2 Phone Number Starting Date of Employment Ending Date of Employment Position Held Supervisor's Name Starting Pay Ending Pay Reason For LeavingCompany #3Company #3 Name City & State Zip Code Company #3 Phone Number Starting Date of Employment Ending Date of Employment Position Held Supervisor's Name Starting Pay Ending Pay Reason For LeavingPersonal Skills / Training HistoryDo you have a background with customer service?* Yes No Are you physically able to lift up to 50 pounds at a time?* Yes No Do you have basic knowledge of computers?* Yes No Would you be willing to install automotive batteries when needed?* Yes No Have you ever been convicted of a felony?* Yes No If yes please explain:Would you have any objections to a drug test and background check?* Yes No Do you have any disabilities that may prevent you from performing at this job?* Yes No Do you have a reliable means of transportation getting to and from work?* Yes No Are you a legal U.S. citizen?* Yes No Employment RequirementsWould you be willing to work Saturdays?* Yes No How many hours per week are you willing to work?* Are you looking for a part time or full time position?* Part Time Full Time If Employed, what date can you start?* Hourly Wage Required?* Are you presently employed?* Yes No If so, where? Would you be willing to ever transfer locations within town?* Yes No Would you be willing to ever transfer to another city?* Yes No Work Availability* Monday Tuesday Wednesday Thursday Friday Saturday EmailThis field is for validation purposes and should be left unchanged. Δ
