APPLICANT INFORMATION
Last Name:	First:	M.I.:	Date:
Street Address:		Apartment/Unit #:
City:	State:	Zip:
Phone: ( ) -	E-mail Address:
Date Availabe: Social Security No.: -- Reliable Transportation: Yes No
Position Applied For: TK Automotive Institute Candidate
Area you a citizen of the United States? Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for this company? Yes No If so, when?: Have you ever been convicted of a felony? Yes No If yes, explain

EDUCATION
High School:	Address:
From: To: Did you graduate? Yes No Degree:
College:	Address:
From: To: Did you graduate? Yes No Degree:
Other:	Address:
From: To: Did you graduate? Yes No Degree:

REFERENCES
Please list three professional references.
Full name:		Relationship:
Company:		Phone: ( ) -
Address:
Full name:		Relationship:
Company:		Phone: ( ) -
Address:
Full name:		Relationship:
Company:		Phone: ( ) -
Address:

PREVIOUS EMPLOYMENT
Company:	Phone: ( ) -
Address:	Supervisor:
Job Title: Starting Salary: $ Ending Salary: $
Responsibilities:
From: / To: / Reason for leaving:
May we contact your previous supervisor for a reference? Yes No
Company:	Phone: ( ) -
Address:	Supervisor:
Job Title: Starting Salary: $ Ending Salary: $
Responsibilities:
From: / To: / Reason for leaving:
May we contact your previous supervisor for a reference? Yes No
Company:	Phone: ( ) -
Address:	Supervisor:
Job Title: Starting Salary: $ Ending Salary: $
Responsibilities:
From: / To: / Reason for leaving:
May we contact your previous supervisor for a reference? Yes No

MILITARY SERVICE
Branch:	From:	To:
Rank at Discharge:	Type of Discharge:
If other than honorable, explain:

WHY SHOULD WE HIRE YOU?

WHY WOULD WE BUY A VEHICLE FROM YOU?

A LITTLE ABOUT YOU (HOBBIES, INTEREST, ETC):

DISCLAIMER

I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in my release from the program. All applicants to the TK Automotive Institute Program shall be afforded equal opportunity in all aspects of employment without regard to race, color, religion, political affiliation, national origin, disability, marital status, gender, or age. The policy of TK Automotive Institute is to collect, maintain, use, and disseminate only the personal information required by law to accomplish a proper purpose.