Contact Info
Fields in Bold are
required
E-Mail address:
Last Name:
First Name:
Middle Initial:
Home Address:
Address:
City:
State:
Zip Code:
Home Phone Number:
Pager Number:
Cellular Number:
Work Number:
Details
Geographical area you are interested in:
Select From List
Metro Denver North
Metro Denver South
Metro Denver East
Metro Denver West
Fort Collins
Greeley
Loveland
Boulder - Longmont
Aurora
Colorado Springs
Pueblo
Eastern Washington
Mountain Communities
Grand Junction
Wyoming
Nebraska
Utah
Arizona
New Mexico
Other
How did you hear about AutoStaffNow:
Select From List
Denver Post Paper
Denver Post Online
Rocky Mtn News
WEB Page
Our Newsletter
Other Publication
Radio Advertising
Seminar
Used us before
Trade Show
Recommended by
Other
Preferred Hourly Rate:
Pay Preference:
Any
Hourly
Flat Rate
Commission
Your Income Last Year:
Are there any limitations on the hours you will work?
Select
Yes
No
Please explain:
Are you a High School graduate? (includes GED)
Select
Yes
No
Did you attend a Jr. College, Community College, Vocational
or Trade School:
Select
Yes
No
Did you complete the program:
Select
Yes
No
Name of Program:
Are you a College Graduate:
Select
Yes
No
What College or University:
What Degree:
What other education, training, seminars etc. do you have?
Give Details.
Do you have a valid drivers license:
Select
Yes
No
Have you had a DUI within the past 5 years:
Select
Yes
No
Do you have any moving violations over the past 5 years:
Select
Yes
No
If yes, explain:
Do you smoke:
Select
Yes
No
Do you object to drug testing:
Select
Yes
No
Do you object to aptitude or skills testing:
Select
Yes
No
Do you have any trips or vacations planned in the near
future:
Select
Yes
No
If yes - Dates/explain:
Do you have a current resume:
Select
Yes
No
Will you:
Fax:
E-mail:
Mail:
Hand Deliver to us:
Tools:
Full Set
Top Box only
Partial Set
No tools at this time
Value of Tools (including box)
ASE Certifications:
(Check those that you
currently have)
Mechanical
Master ASE Technician
Engine Repair
Automatic Transmission / Transaxle
Manual Drive Train and Axles
Suspension and Steering
Brakes
Electrical / Electronic Systems
Heating and Air Conditioning
Engine Performance
L1 (Advanced Drivability)
Emissions License
IM A/C Licensed
Autobody (check all that apply)
Painting / Refinishing
Non Structural Analysis & Damage Repair
Structural Analyses And Estimating
Mechanical and Electrical Components
Damage Analysis and Estimating
Employer Preference:
Dealership
Independent Shop
Either
Preference (check all that apply)
All cars
Import Cars
Domestic Cars
German Cars
Japanese Cars
Light Trucks
Heavy Trucks
Heavy Equipment
Specific Brand (s)
Area (s) of expertise (check all that apply)
Brakes & Suspension
General Line
Bumper to Bumper
Drivability
Electrical
Heavy Duty
Transmissions
Lube Tech
Detail
Auto Body Tech
Painter
RV
Marine
Motorcycles / Snowmobiles
Other:
Previous Employment
History
We need at least 8
years of prior employment - no gaps - please give lots
of details!
1. Current or Last Employer
Employer:
Position (s) Held:
Dates Employed: From:
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Duties:
Average Hours Produced Per 40 hr week:
Hourly Rate:
Hourly
Flat Rate
Commission
Reasons for leaving or wanting to leave:
Supervisor / Reference:
Supervisor / Reference Phone:
May we contact this employer:
Yes
No
2. Prior Employer
Employer:
Position (s) Held:
Dates Employed: From:
- Pull Down -
January
February
March
April
May
June
July
August
September
October
November
December
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To:
- Pull Down -
Present
January
February
March
April
May
June
July
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October
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December
/
- Pull Down -
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Duties:
Average Hours Produced per 40 hr. Week:
Hourly Rate:
Hourly
Flat Rate
Commission
Reasons for leaving:
Supervisor / Reference:
Supervisor / Reference Phone:
May we contact this employer:
Yes
No
3. Prior Employer
Employer:
Position (s) Held:
Dates Employed: From:
- Pull Down -
January
February
March
April
May
June
July
August
September
October
November
December
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To:
- Pull Down -
Present
January
February
March
April
May
June
July
August
September
October
November
December
/
- Pull Down -
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75
Duties:
Average Hours Produced per 40 hr. Week:
Hourly Rate:
Hourly
Flat Rate
Commission
Reasons for leaving:
Supervisor / Reference:
Supervisor / Reference Phone:
May we contact this employer:
Yes
No
4. Prior Employer
Employer:
Position (s) Held:
Dates Employed: From:
- Pull Down -
January
February
March
April
May
June
July
August
September
October
November
December
/
- Pull Down -
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19
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91
90
89
88
87
86
85
84
83
82
81
80
79
78
77
76
75
To:
- Pull Down -
Present
January
February
March
April
May
June
July
August
September
October
November
December
/
- Pull Down -
20
19
18
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90
89
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83
82
81
80
79
78
77
76
75
Duties:
Average Hours produced per 40 hr. week
Hourly Rate:
Hourly
Flat Rate
Commission
Reasons for leaving:
Supervisor / Reference:
Supervisor / Reference Phone:
May we contact this employer:
Yes
No
5. Prior Employer
Employer:
Position (s) Held:
Dates Employed: From:
- Pull Down -
January
February
March
April
May
June
July
August
September
October
November
December
/
- Pull Down -
20
19
18
17
16
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91
90
89
88
87
86
85
84
83
82
81
80
79
78
77
76
75
To:
- Pull Down -
Present
January
February
March
April
May
June
July
August
September
October
November
December
/
- Pull Down -
20
19
18
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82
81
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79
78
77
76
75
Duties:
Average Hours produced per 40 hr. week
Hourly Rate:
Hourly
Flat Rate
Commission
Reasons for leaving:
Supervisor / Reference:
Supervisor / Reference Phone:
May we contact this employer:
Yes
No
Professional References
People we can call
now that can professionally comment on your skills and
ability.
Name:
How Known:
Phone Number:
Name:
How Known:
Phone Number:
Name:
How Known:
Phone Number:
Additional Comments: Please let us know:
What you are looking for in a new employer.
What you are not looking for.
Employers/Individuals you will not work for.
Employers/Individuals you have already talked to.
Resume info: If you have a resume please
cut and paste the text in the comment box below. (copy
the text from your word processor document, click inside
the box below and paste ) If this can not be done you
can also fax it to us at (303) 904-0892, e-mail it to jobs@autostaffnow.com ,
or by regular mail to PO Box 2042, Littleton, CO 80161. Thank you!
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