EMPLOYMENT APPLICATION HANSEN’S AUTO CENTER – 1405 S. PARK STREET – MADISON, WI 53715 APPLICANT INFORMATIONFull NameDate MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail Social Security NumberBirth Date MM slash DD slash YYYY Desired SalaryPosition Applied ForDate Available MM slash DD slash YYYY This position may require you to drive company or customers vehicles, for this reason, please supply your DriversLicense NumberExpiresAre you a citizen of the United States Yes No If not, are you authorized to work in the U.S. Yes No Have you ever worked for Hansen's Auto Before Yes No If YES, When? MM slash DD slash YYYY EDUCATIONHigh SchoolAddressDates MM slash DD slash YYYY To MM slash DD slash YYYY Did you Graduate Yes No Diploma/GEDGPACollegeAddressDates MM slash DD slash YYYY To MM slash DD slash YYYY Did you Graduate Yes No Diploma/CertificateGPAPlease list any additional courses, classes, seminars, work study, internships and/or special skills that would relate to the position to which you are applyingEMPLOYMENT HISTORY Please list most recent/current employer first:EmployerPhoneAddressSupervisorJob TitleStarting Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Job ResponsibilitiesReason For LeavingMay we contact this employer for a reference Yes No EmployerPhoneAddressSupervisorJob TitleStarting Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Job ResponsibilitiesReason For LeavingMay we contact this employer for a reference Yes No REFERENCES Please list 3 professional referenced that are NOT related to you:NameCompanyYears KnownContact NumberRelationship to youNameCompanyYears KnownContact NumberRelationship to youNameCompanyYears KnownContact NumberRelationship to youMILITARY SERVICEBranchFrom MM slash DD slash YYYY To MM slash DD slash YYYY RankType of DischargeIf other than Honorable Discharge, please explain:DISCLAIMER AND SIGNATUREI 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 from the position for which I am applying.SignatureDate MM slash DD slash YYYY Auto Service You Can Trust! Call Now
