Join Our Team Contact Us
Erie 814 47-GLASS (474-5277)

AUTO GLASS REPAIR
ADDITIONAL SERVICES
LIMITED WARRANTY

JOIN OUR TEAM

Join Our Team

Application of Employment

1

2

3

4

We are an equal opportunity employer and will not discriminate in the hiring process on the basis of sex, religion, race, color, age, disability, sexual orientation, marital or veteran status, national origin or genetic information. This application is available in alternative, accessible format and we will also give assistance in completing this application.
Date*
MM slash DD slash YYYY
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Are you legally authorized to work in the U.S.*
- Yes
- No
(If hired, you will be required to provide proof of work authorization.)
Are you 18 years old or older?*
- Yes
- No
If not, your employment will be subject to verifications that you meet state/federal minimum age requirements for the type of work you are applying for and have obtained a valid work permit.
Have you ever been convicted of a crime?*
- Yes
- No
If yes, give details, including date(s):
Start Date
MM slash DD slash YYYY
End Date
End Date
MM slash DD slash YYYY
*A conviction will not necessarily disqualify you from employment. You should not disclose any information regarding criminal records that have been sealed.
Have you ever applied at any of our locations?
- Yes
- No
Have you ever worked for any of our locations?
- Yes
- No
Will you travel if the job requires it?
- Yes
- No
Will you work overtime if required?
- Yes
- No

Position Applying For
Desired Position:
Part-Time or Full-Time
- Part-Time
- Full-Time
Desired Compensation:
When can you start?
MM slash DD slash YYYY
How were you referred to the company?
- Agency
- Walk-in
- Internet
- Friend/Relative
- Other
Special Skills
List any relevant skills for the position in which you are applying for:
Are you currently under a non-compete agreement with a previous employer?
- Yes
- No
If so, the agreement is with:
For a duration of:
Starting on:
MM slash DD slash YYYY
Ending on:
Ending on:
MM slash DD slash YYYY
Education
High School
Graduated?
- Yes
- No
Technical School
Graduated?
- Yes
- No
Course of Study:
College/University
Graduated?
- Yes
- No
Course of Study:
Graduate School:
Other education or training:
Other special skills:
Training Courses/Licenses
List any training programs you have attended and when you completed them:
List any licenses that you have received and when you completed them:

Employment History
Employer
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
First Last
Employment Dates
From:
MM slash DD slash YYYY
Employment Dates
To:
MM slash DD slash YYYY
Name of Immediate Supervisor:
May we contact?
- Yes
- No
Description of Duties:
Employer:
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title:
Employment Dates
From:
MM slash DD slash YYYY
Employment Dates
To:
MM slash DD slash YYYY
Name of Immediate Supervisor
May we contact?
- Yes
- No
Description of Duties:
Employer
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Employment Dates
From:
MM slash DD slash YYYY
Employment Dates
To:
MM slash DD slash YYYY
Name of Immediate Supervisor
May we contact?
- Yes
- No
Description of Duties:

Employment References
Name
First Last
Relationship:
Phone
How long known?
Name
First Last
Relationship:
Phone
How long known?
Name
First Last
Relationship:
Phone
How long known?
Please Read Carefully Before Signing This Form
All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired, regardless of when such information is discovered. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purposes of verifying any information I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any persons or organizations providing information pertaining to me or my employment. I understand that this application remains current for only 90 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state, or local law. The Company likewise dies not tolerate harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status. Examples of prohibited harassment include, but are not limited to, unwelcome physical contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults, name-calling, negative stereotyping, possession or display of derogatory pictures or other graphic materials, and any other words or conduct that demean, stigmatize, intimidate, or single out a person because of his/her membership in a protected category. Harassment of our employees is strictly prohibited, whether it is committed by a manager. Coworker, subordinate or non-employee (such as a vendor or customer). The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly. Regardless of whether or not I become employed by the company, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company’s, unless specifically provided otherwise in a written employment contract. I further understand that not company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an official of the company, and then only by means of a signed, written document
Signature
Date
MM slash DD slash YYYY

A proud part of the Bonnell’s Auto Group where you always get the very best.

Bonnell's Auto Glass

Auto Glass Repair
Additional Services
Limited Warranty
Contact Us

Erie Location

2650 West 26th Street
Erie, PA 16506
Phone: 814 47-GLASS (474-5277)
Fax: 814 528-5763

Hours

Monday – Friday, 8:00 am – 5:30 pm

Copyright © Bonnell's Auto Glass. All Rights Reserved