Employment Application
Applicant Information
Full Dantzler Wesley L. Date: 2/23/10
Name:
Last First M.I.
Address *** *. ***-*** **.
:
Street Address Apartment/Unit #
Columbia Mo. 65202
City State ZIP Code
Phone: 573-***-**** ) E-mail *********@***.***
Address:
Date Today Social Desired $ ?
Available: Security No.: Salary:
Position Parts Counter
Applied for:
Are you a citizen of the X NO If no, are you authorized to work YES NO
United States? in the U.S.?
Have you ever worked for this YES X If so,
company? when?
Have you ever been convicted YES X
of a felony?
If yes,
explain:
Education
High Hickman Address Columbia, Mo.
School: :
From: 1969 To: 1972 Did you YES X Degree: GED
graduate?
College COLUMBIA COLLEGE Address COL MO.
: :
From: 1975 To: 1976 Did you YES X Degree:
graduate?
Other: MULTIPLE TECH COURSES Address
:
From: To: Did you YES NO Degree:
graduate?
References
Please list three professional references.
Full George Madison Relations Friend//co worker
Name: hip:
Company: Dodge City Motors 573-***-****
Address 1300 Vandiver, Columbia Mo.
Full Robert Painter Relations Neighbor
Name: hip:
Company: Phone: 573-***-****
Address 708 W Bon Gor Ct. Columbia Mo. 65202
:
Full Darryl Knott
Name:
Company: Dodge City Motors Phone: 573/474/7400
Address
:
Previous Employment
Company: Dodge City Motors Phone: 573-***-****
Address 1300 Vandiver Superviso Owner/Larry Estes
: r:
Job Parts Manager Starting 24,000 Ending 55,000
Title: Salary: Salary:
Responsibili Monitor and control all aspects of company business from parts dept
ties: involvement
From: 1985 To: 2009 Reason for Resigned //happy to discuss
Leaving:
May we contact your previous supervisor X NO
for a reference?
Company: Phone:
Address Superviso
: r:
Job Starting $ Ending $
Title: Salary: Salary:
Responsibili
ties:
From: To: Reason for
Leaving:
May we contact your previous supervisor YES NO
for a reference?
Company: Phone:
Address Superviso
: r:
Job Starting $ Ending $
Title: Salary: Salary:
Responsibili
ties:
From: To: Reason for
Leaving:
May we contact your previous supervisor YES NO
for a reference?
Military Service
Branch USARMY From: 1981 To: 1983
:
Rank at E-4// MILITARY POLICE Type of HONORABLE
Discharge: Discharge:
If other than
honorable, explain:
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading
information in my application or interview may result in my release.
Signatur WESLEY L. DANTZLER Date: 02/08/2010
e: