University Auto Recycling

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Personal Information

Desired Employment


Grammar School

(Education Level)

High School

(Education Level)


(Education Level)


(Education Level)


Former Employers

List below last three employers, starting with the most recent one first.

Employer 1

Employer 2

Employer 3


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

Reference 1

Reference 2

Reference 3

Service Record

"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 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."