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5733 Old Route 66, Mount Olive, IL 62069
Phone: (800) 626-4890 Fax: (217)999-2713

Applicant Information


Employment History

List most recent employment first. Include summer or temporary jobs. Be sure all experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 years history recommended.



Reference Release Form

I, __________________________________, (1) certify that all answers give herein are true and complete to the best of my knowledge, (2) authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, (3) understand, in the event of unemployment, that false or misleading information given in my application or interview(s) may result in discharge. 
I, _____________________________, hereby authorize Mullins Auto Parts and its agents to make investigations and inquiries into my employment and educational history and other related matters as may be necessary at arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquiries connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities provided on my employment application. Furthermore, I authorize the company and its agents to release any reference information to prospective employers who request such information for purposes of evaluating my credentials and qualifications.