Big Two Mitsubishi

See our list of available positions below. To inquire about a position, please fill out the following form (the form will submit using a secure HTTPS action):

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Pre-Employment Questionnaire - Equal Opportunity Employer

*Position Desired

Full or Part Time?
Full Time Part Time

*Salary Desired
*Available Date

Please select a calendar date that is best for you.

Personal Data

*Last Name
*Social Security Number
*City
*How long have you lived at this address?
Prev. State
How long have you lived at this address?

*First Name
*Home Phone
*State
Previous Address (If less than 5 Years)

*Middle Initial
*Present Address
*Zip Code
Prev. City
Prev. Zip
*Email

Employment Eligibility

Employment History - Employer #1

*Employer #1
*Your Title or Position - Employer #1
*State - Employer #1
*Starting Pay - Employer #1
*Reason for Leaving - Employer #1

*From (mm/yyyy) - Employer #1
*Address - Employer #1
*Zip - Employer #1
*Current Pay - Employer #1

*To (mm/yyyy) - Employer #1
*City - Employer #1
Phone - Employer #1
*Name of Last Supervisor - Employer #1

Employment History - Employer #2

Employer #2
Your Title or Position - Employer #2
State - Employer #2
Starting Pay - Employer #2
Reason for Leaving - Employer #2

From (mm/yyyy) - Employer #2
Address - Employer #2
Zip - Employer #2
Current Pay - Employer #2

To (mm/yyyy) - Employer #2
City - Employer #2
Phone - Employer #2
Name of Last Supervisor - Employer #2

Employment History - Employer #3

Employer #3
Your Title or Position - Employer #3
State - Employer #3
Starting Pay - Employer #3
Reason for Leaving - Employer #3

From (mm/yyyy) - Employer #3
Address - Employer #3
Zip - Employer #3
Current Pay - Employer #3

To (mm/yyyy) - Employer #3
City - Employer #3
Phone - Employer #3
Name of Last Supervisor - Employer #3

Employment History - Employer #4

Employer #4
Your Title or Position - Employer #4
State - Employer #4
Starting Pay - Employer #4
Reason for Leaving - Employer #4

From (mm/yyyy) - Employer #4
Address - Employer #4
City - Employer #4
Current Pay - Employer #4

To (mm/yyyy) - Employer #4
City - Employer #4
Phone - Employer #4
Name of Last Supervisor - Employer #4

Previous Employment

Have you been terminated or asked to resign from any job?
Yes No

May we contact your current employer?
Yes No

If yes please explain circumstances
If no, please explain

Please explain fully any gaps in your employment history

Educational Background - Elementary School

*Elementary School Name

*Year Completed Elementary School

Describe Specialized Training, Military Experience, Special skills and Extracurricular Activities, Honors and Awards in Elementary School.

Educational Background - High School

*High School Name
*Describe High School Course of Study or Major

*Year Completed High School
Describe Specialized Training, Military Experience, Special skills and Extracurricular Activities, Honors and Awards in High School.

*High School Diploma/Degree

Educational Background - College/University

College Name
Describe College Course of Study or Major

Year Completed College
Describe Specialized Training, Military Experience, Special skills and Extracurricular Activities, Honors and Awards in College.

College Diploma/Degree

Educational Background - Graduate/Professional School

Grad School Name
Describe Grad School Course of Study or Major

Year Completed Grad School
Describe Specialized Training, Military Experience, Special skills and Extracurricular Activities, Honors and Awards in Grad School.

Grad School Diploma/Degree

General Information

Emergency Information

*Contact's Name
*Contact's City
*Contact's Phone
Contact's Employer

*Contact's Relationship
*Contact's State
*Contact's Alternate Phone

*Contact's Address
*Contact's Zip
*Contact's Phone Type

Character Reference #1

*Reference #1 Name
*Reference #1 Phone

*Reference #1 Occupation
*Reference #1 Years Known

*Reference #1 Address

Character Reference #2

*Reference #2 Name
*Reference #2 Phone

*Reference #2 Occupation
*Reference #2 Years Known

*Reference #2 Address

Character Reference #3

*Reference #3 Name
*Reference #3 Phone

*Reference #3 Occupation
*Reference #3 Years Known

*Reference #3 Address