EMPLOYMENT APPLICATION HANSEN’S AUTO CENTER – 1405 S. PARK STREET – MADISON, WI 53715 APPLICANT INFORMATIONFull Name Date 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 Salary Position Applied For Date 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 School Address Dates MM slash DD slash YYYY To MM slash DD slash YYYY Did you Graduate Yes No Diploma/GED GPACollege Address Dates MM slash DD slash YYYY To MM slash DD slash YYYY Did you Graduate Yes No Diploma/Certificate GPAPlease 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:Employer PhoneAddress Supervisor Job Title Starting Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Job ResponsibilitiesReason For Leaving May we contact this employer for a reference Yes No Employer PhoneAddress Supervisor Job Title Starting Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Job ResponsibilitiesReason For Leaving May we contact this employer for a reference Yes No REFERENCES Please list 3 professional referenced that are NOT related to you:Name Company Years KnownContact NumberRelationship to you Name Company Years KnownContact NumberRelationship to you Name Company Years KnownContact NumberRelationship to you MILITARY SERVICEBranch From MM slash DD slash YYYY To MM slash DD slash YYYY Rank Type of Discharge If 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.Signature Date MM slash DD slash YYYY Auto Service You Can Trust! Call Now
