All statements made by applicants for employment on this application will be checked for accuracy. We offer equal employment opportunities to all persons without regard to race, color, religion, age, marital or veteran status, sex, national origin or the presence of a non-job related medical condition or handicap or any other legally protected status.

Name:

E-mail:

Current Address:


Home or Nearest Phone:

Position applying for and the Job Code number:

How soon could you report for work?:

Type of employment: Full-time Part-time Temporary

What days and hours if part time?
(Days) (Hours)

Schmidt Motors, Inc. is an Equal Opportunity Employer