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Collision Specialists
Hartford, CT
Hours: Monday to Friday: 7:30 a.m. to 5 p.m.
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Date Available
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Desired Salary: $
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If no, are you authorized to work in the U.S.?
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Have you ever been convicted of a felony?
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Date of Birth
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Previous Employment
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Ending Salary: $
Responsibilities
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Reason for Leaving
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Phone
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Address
Supervisor
Job Title
Starting Salary: $
Ending Salary: $
Responsibilities
From
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MM slash DD slash YYYY
Reason for Leaving
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Company
Phone
Address
Address
Supervisor
Job Title
Starting Salary: $
Ending Salary: $
Responsibilities
From
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To
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
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No
Military Service
Branch
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Rank at Discharge
Type of Discharge
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Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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