New Hire Application

Section 01

Position

Which role(s) are you applying for, and where?

Location *

Earliest start date *

Position(s) of interest *

Desired pay optional

Section 02

Your information

First name *

Last name *

Phone *

Email *

Date of birth *

Social Security Number *

City *

State *

Legally authorized to work in the U.S.? *

Are you 18 years of age or older? *

Section 03

Experience

Years of relevant experience *

Certifications I-CAR, ASE, etc.

Valid driver's license? *

Employment history optional — most recent first, with a reference for each employer

Current / Recent employer

Position held

Reference — name

Reference — phone

Tell us about your experience *

Section 04

Documents

Take a photo or upload a file (image or PDF). These verify your identity for payroll setup.

Driver's license *

Proof of SSN * Social Security card

Section 05

Acknowledgment & signature

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may result in this application being rejected or, if hired, in dismissal. My date of birth and Social Security Number are collected for payroll setup and employment eligibility verification only. I understand that employment is contingent on completion of the company's hiring process, including onboarding and I-9 employment eligibility verification, and that employment is at-will. BCC Group is an equal opportunity employer.

I authorize the company to contact the references and current/former employers listed in this application to verify my employment history and qualifications. *

Type your full name as signature *

Date