Tel: (714) 638-8991 Fax: (714) 638-8600
Employment Pre-Application
First Name Last Name
Telephone Number Alt Telephone Number
Do you have a truck Yes No Do you have your own tools Yes No Are you 18 years or older Yes No
Education Completed Grammar School High School College Trade, Business or Corespondence School
Present Street Address Line1
Address Line 2
City State Zip
Date you can start Salary Desired
Please describe about Past employment :
Last/Current Employment (name, address, phone, job title, description of dutys):
Reason for leaving:
MR FIX IT NOW.com (a d.b.a. of United California Financial Corp.) is an E.O.E.