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Napa Auto Parts Job Application Form

To apply at any Napa Auto Parts shop located in the US, interested individual must accomplish this form. Completed form must be submitted to the nearest corporate/franchised location.Download

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A	p p l i cAt i o n	 f o r	 E	m p l o y m En t	
Applic Ation for EmploymEnt	
Em p l o y m En t	 D	Es i r E D	
pEr s o n Al	 in f o r m At i o n	
ED u c At i o n	 H	i s t o r y	
G	En Er A l	 in f o r m At i o n	
fo r m Er	 E	m p l o y Er s	
PRE-EMPLOYMENT QUESTIONNAIRE
EQUAL OPPORTUNITY EMPLOYER
DATE	
STATE ZIP CODE
ZIP CODE
STATE
REFERRED BY
DATE YOU CAN START
POSITION
ARE YOU
EMPLOYED?
EVER APPLIED TO
THIS COMPANY BEFORE?
SUBJECTS OF SPECIAL STUDY, RESEARCH
WORK OR SPECIAL TRAINING/SKILLS	
CONTINUED ON OTHER SIDE	
U.S. MILITARY OR
NAVAL SERVICE	
NAME & ADDRESS OF EMPLOYER SALARYPOSITION REASON FOR LEAVING	DATE
MONTH AND YEAR
FROM
FROM
FROM
FROM	
TO
TO
TO
TO TO	
RANK	
GRAMMAR SCHOOL
HIGH SCHOOL
COLLEGE	
APR 1998 9661	
(LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)	
TRADE, BUSINESS OR
CORRESPONDENCE SCHOOL	
NAME & LOCATION OF SCHOOL	YEARS
ATTENDED DID YOU 
GRADUATE?	SUBJECTS STUDIED	
YES
YES YES
WHERE? WHEN?
NO
NO NO
IF SO, MAY WE INQUIRE
OF YOUR PRESENT EMPLOYER? SALARY DESIRED
NAME (LAST NAME FIRST)
PRESENT ADDRESS
PERMANENT ADDRESS
PHONE NO.	
(            )	
CITY

rEfEr En c Es
Au t Ho r i z At i o n	
rEm Ar k s	
Do no WritE BElo W tHis linE	
GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.	
    “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 forego-
ing, unless it is in writing and signed by an authorized company representative.
    This waiver does not permit the release or use of  disability-related or medical information in a manner pro-
 hibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”                  	
This application for employment is sold only for general use throughout the United States. Adams assumes no responsibility and hereby disclaims any liability for the inclusion in this
form of any questions or requests for information upon which a violation of local, state, and/or federal law may be based. It is the user’s responsibility to ensure that this form’s use com-
plies with applicable laws, which change from time to time.	
NAME ADDRESSBUSINESS	YEARS
KNOWN	
DATE SIGNATURE
DATE
INTERVIEWED BY
NEATNESS CHARACTER
PERSONALITY ABILITY
HIRED
APPROVED:  1.	
EMPLOYMENT MANAGER DEPARTMENT HEADGENERAL MANAGER	2.3.
FOR
DEPT.
POSITION
WILL
REPORT
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