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If you wish to be considered for a position with the nation's most trusted locksmith & car door unlocking service, please complete and submit the following job application form.

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Name:


Address:


City:


State:
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Zip Code:


E-mail Address:


Phone Number (main number):


Additional Phone Number(s) (Optional):


Area of Interest:
Joining our team as a Road Service Technician
Car Door Unlocking Jumpstarts
Fuel Delivery Tire Changes
Joining our team as a Locksmith
Joining our team as a Dispatcher


Are you willing to relocate?
yes no




Which Pop-A-Lock franchise would you like to work for?:
To select multiples, hold down the ctrl key (shift key on Mac).
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Military Experience If no military experience, please skip to the next section. Branch of service: Specialty: Description of work/experience: Date of enlistment: Select 1 2 3 4 5 6 7 8 9 10 11 12 Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Date of discharge : Select 1 2 3 4 5 6 7 8 9 10 11 12 Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Position Desired:


Salary Desired:


Are you presently employed?
yes no

If yes, may we inquire with your present employer?
yes no

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Have you ever worked for this company before?
yes no

If yes, where?

when?

What was your reason for leaving?


What was the name of your last supervisor?

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Please fill out the name of schools you have attended.

High School:

Name:

Location:

Years you attended this school:

Did you graduate?
yes no

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University / College:

Name:

Location:

Years you attended this school:

What did you study?

Did you graduate?
yes no

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Other schools attended:

Name:

Location:

Years you attended this school:

What did you study?

Did you graduate?
yes no

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Please list your last three employers, starting with the most recent.

Present / Last Employer:


Phone Number:


Address:


City:


State:


Zip Code:


When were you employed?
From: To:

Job Title:


Salary:


Name of Supervisor:


May we contact your supervisor?
yes no

Description of Work:


Reason for Leaving:

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Previous Employer:


Phone Number:


Address:


City:


State:


Zip Code:


When were you employed?
From: To:

Job Title:


Salary:


Name of Supervisor:


May we contact your supervisor?
yes no

Description of Work:


Reason for Leaving:

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Previous Employer:


Phone Number:


Address:


City:


State:


Zip Code:


When were you employed?
From: To:

Job Title:


Salary:


Name of Supervisor:


May we contact your supervisor?
yes no

Description of Work:


Reason for Leaving:

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Have you ever been convicted of a felony within the last five years?
yes no

If yes, please explain:


A "yes" answer will not necessarily disqualify you from consideration.

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Authorization
“I understand that the foregoing is a preliminary questionnaire and that, prior to being considered for employment, I will be required to complete an application.

I certify that the facts contained in this true and complete the best of my knowledge and understand that, if employed, falsified statements on this questionnaire shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the 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 I 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 foregoing, unless it is in writing and signed by an authorized company representative.”

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