Application Submission Form

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Email *

First and Last Name

Phone Number
*

Are you eligible to work in the United States?
*

Yes

Have you ever been convicted of a felony?
*

Yes

Do you consent to a background check?

Yes

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Do you have reliable transportation?
*

Yes

Are you willing to drive up to an hour away to our other locations?

Yes

Are you able to speak Spanish?

Yes

What is your availability? *

Part time

Full time

What is your target hourly wage?

What motivates you?

In a few sentences write why you want to work for Chip Stop Windshield Repair and why Chip Stop should hire YOU among the rest of the candidates.

A copy of your responses will be emailed to the address you provided.

Submit

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