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Careers at Clean Fleet Auto Body
504.888.0000
Benevolence Family Application Form
Name
(Required)
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Last
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(Required)
Phone
(Required)
Address
Street Address
Address Line 2
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Do you have a current driver's license?
(Required)
If yes, please attach a current DMV driving record report with at the bottom.
Yes
No
Driver's License Number
Expiration Date
State
Do you currently have auto insurance?
(Required)
Yes
No
Has your driver’s license ever been suspended or revoked?
(Required)
Yes
No
Have you had any moving violations or criminal infractions in the past two years?
(Required)
Yes
No
Are there any other members of your household with a current valid driver's license?
(Required)
Yes
No
Can you drive a manual/stick shift transmission car?
(Required)
Yes
No
This event will be covered by the media, are you willing to appear on TV?
(Required)
Yes
No
Are you currently employed?
(Required)
Yes
No
Please list the name, address and telephone number of your employer/supervisor.
Confirmation
(Required)
All interested applicants must send a 1-page narrative explaining why the lack of reliable transportation interferes with your current and future economic status, and how receiving this automobile will assist you in becoming self-sufficient, along with their resume, and current DMV driving record report. These can be dropped off to Clean Fleet Auto Body at 4432 Hearst Street Metairie LA 70001, faxed to 504-888-0507, emailed to davidr@cleanfleetautobody.com, or attached to this form.
All applications are due by October 15, 2021.
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