
Mobile Auto Service Page | 1
Address: 3732 Davis Corner Road, Street, MD 21154
Phone: (443) 424-0131
Website: www.remotemechanic.com
First Name: _____________________________ Middle Initial: ______ Last Name: ________________________
Phone #: _______________________________
Are you eligible to work in the United States? ☐ Yes ☐ No
If you are under age 18, do you have an employee / age certificate? ☐ Yes ☐ No
Have you been convicted of or pleaded no contest to a felony within the last 5 years? ☐ Yes ☐ No
If yes, please explain: __________________________________________________________________________
Position Applied For: ___________________________________________________________________________
Check all that apply
Are you available for emergency jobs on the weekends? ☐ Yes ☐ No
When are you available to start work? _____________________________________________________________
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Skills / Qualifications / Licenses / Training / Awards / Certifications
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1598 Main Street Whiteford, Md 21160