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~~ TECHNICIAN EMPLOYMENT APPLICATION ~~
Date: / /


Name:  Ph.#: (

Address:  

City:  State:  Zip:  

Email:

Date Available for Interview:  

Date Available for Employment:  

Driver's License #:  State:   
No. of Convictions (Last 3 years):  
DWI? Yes
  No  


Position Desired:
 Technician
  
  Supervisor  
  Either   


Total Years of Mechanical Experience?
      Years for Franchised Dealer  
      Years for Independent Garage  
      Years for Other 

Preferred Geographic Location(Please specify region, state, or city):
      1st Choice
      2nd Choice
      3rd Choice



(Check only applicable areas):
  ASE
Cert.
(Auto)
ASE
Cert.
(Truck)
Classroom
Trained
Experience
Diagnose (R&R) (Overhaul)
Mechanical
Engine Repair
(Gasoline)
Engine Repair
(Diesel)
--
Auto Trans/
Transaxle
--
Manual Drive
Train and Axles
Suspension and
Steering
Brakes
Electrical/
Electronic Systems
Heating/
Vent/A.C.
Engine Performance -- -- --
L1 Eng. Adv.
Performance
-- -- --
Body
Metal Repair -- -- -- --
Paint/
Refinish
-- -- -- --
Estimator -- -- -- --
  ASE
Cert.
(Auto)
ASE
Cert.
(Truck)
Classroom
Trained
Diagnose (R&R) (Overhaul)
Experience



Factory Certifications:
 GM  Yes   No 
 Ford  Yes   No 
 Chrysler  Yes   No 
 Asian  Yes   No 
 Other  Yes   No 

Other Training:
 Military  Yes   No 
 Vo-Tech  Yes   No 

 Other:  

Approximate Value of Personal Tools: 

Comments:








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