EmailMe Form - Sublet Hail Technician Application

Name *

First Last

Home Address *

City *

State, ZIP *

Province or Region if applicable

Country

Leave blank if United States

Phone Number *

### - ### - ####

Email *

Are you eligible to work in the United States? *

Yes

No

Do you need assistance obtaining a visa in order to work in the United States? *

Yes

No

Company Name & DBA (Doing Business As) if Applicaple *

Web Site

# Years of Experience *

Skills and Qualifications: Licenses, Skills, Training, Awards

City or Area you would like to work near

Write "Anywhere" for any state in the US

Are you interested in working overseas

Usually Europe or Australia

References:
Name/Title Address Phone

Technician, Body Shop or Dealership

Do you carry a garage keepers insurance policy? *

Yes

No

If yes, Name of Insurance Carrier

Amount of coverage

If you do not carry insurance, we can add you to our policy for a reasonable fee or we can supply you with contact info so that you may obtain your own policy.

Do you agree to follow Autohail's strict No-Drill Policy? *

Yes

No

Call or email us for more info if you are not completely aware of the policy.

Do you agree to follow Autohail's Corrosion Protection Policy? *

Yes

No

Call or email us for more info if you are not completely aware of the policy.

Are you interested in handling door dings/dents near your home when not working a hail storm? *

Yes

No

Call or email us for more info if you are not completely aware of the policy.

I certify that information contained in this application is true and complete. I understand that false information will be grounds for immediate dismissal from any job whether started or not. I authorize the verification of any or all information listed above.

Do you agree with the terms and conditions? *

Yes, I agree.

Initial *

Date *

MM / DD / YYYY