Employment Application EMPLOYMENT APPLICATION Step 1 of 5 20% Who are you meeting with today?* Lori Burns Barrett Burns Andrew King Contact InformationName* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Email* Home PhoneCell Phone* Your Job SearchPosition(s) Desired* Salary/Hourly Pay Desired (Range)* Are you willing to travel?YesNoOccassionallyAre you willing to relocate?YesNoAre you currently working?*YesNoOn ContractPlease name current employer.* Current Salary/Hourly Pay:* How were you referred to us? Professional ReferencesName Title Company PhoneName Title Company PhoneName Title Company Phone For Automotive PositionsIf you are not applying for an automotive position, please click NEXT at the bottom of this page and skip to the next portion of this application.Do you have a valid driver's license? Yes No May we obtain a copy for our records? Yes No Has your license ever been suspended or revoked? Yes No If yes, please explain.Have you ever been convicted, plead guilty, or plead nolo to a charge of DWI or DUI? Yes No If yes, when? Please list all moving traffic violations in the last 5 years.Have you ever been convicted of a misdemeanor or felony crime? Yes No If yes, please explain including dates and details of each incident. I hereby state that the information I have provided to Davis-Burns Group is true and accurate.* Accept Your Name* Today's Date* Δ
