Riley and Sons

Application for Employment

Pre-Employment Questionaire
An Equal Opportunity Employer
Required fields marked with *

Personal Information

Name (last name first):*

Social Security No:*

Present address:
Street     Apt. No. 
City    State    Zip 

Permanent address:ess:
Street     Apt. No. 
City    State    Zip 

Are you 18 years or older?der?* 

Phone:* 

Email: 

Desired Employmentment

Position:   
Date you can start: 
Salary desired: 

Are you employed now?* 
If so may we inquire of your present employer?* 

Ever applied to this company before?* 
Where? 
When? 

Ever worked for this company before?* 
Where? 
When? 
Reason for leaving:

Name of last supervisor at this company:

Who referred you to to this company?

Education

High School
Name and location of school:

No. years attended: 
Did you granduate? 
Subjects studied: 

College
Name and location of school:

No. years attended: 
Did you granduate? 
Subjects studied: 

Trade, Business or Correspondence School
Name and location of school:

No. years attended: 
Did you granduate? 
Subjects studied: 

General

Subjects of special study or research work:

Special training:

Special skills:

Former Employers

List below last three employers, starting with the most recent

Present or last employer
Employer name:

Employer address:
Street
City    State    Zip 
Starting date: 
Leaving date: 
Job title: 
Weekly starting salary: 
Weekly final salary: 
May we contact your supervisor? 
Name of supervisor:

Supervisor title: 
Supervisor phone: 
Description of work:

Reason for leaving:

Previous employer
Employer name:

Employer address:
Street
City    State    Zip 
Starting date: 
Leaving date: 
Job title: 
Weekly starting salary: 
Weekly final salary: 
May we contact your supervisor? 
Name of supervisor:

Supervisor title: 
Supervisor phone: 
Description of work:

Reason for leaving:

Previous employer
Employer name:

Employer address:
Street
City    State    Zip 
Starting date: 
Leaving date: 
Job title: 
Weekly starting salary: 
Weekly final salary: 
May we contact your supervisor? 
Name of supervisor:

Supervisor title: 
Supervisor phone: 
Description of work:

Reason for leaving:

References

Below give the names of three persons you are not related to, whom you have known at least one year.

Reference 1
Name: 
Address: 
Business: 
Years acquainted: 

Reference 2
Name: 
Address: 
Business: 
Years acquainted: 

Reference 3
Name: 
Address: 
Business: 
Years acquainted: 

Service Record

Branch of Service: 
Discharge date: 
Rank: 
Description of service:

Felony

Have you been convicted of a felony within the last 5 years?* 
If yes, explain (will not necessarily exclude you from consideration)

Resume (Optional)

Paste from word processing document

Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

Riley & Sons Collision & Mechanical Specialists Reviews

"I could not have been treated any nicer by everyone."

Helen Williams