Past Employees Only - Confidential
If  you were employed by Bullock Garages in the past use this form.

Name *First             Middle             *Last          

        *Address                                      *City              *State         *zip

*Phone                                * email address                    


   *Your Position was           *Division                   * Office    (City)          (St)   
Choose One 3 Danville 4 Alabama 7 Omaha 8 Ohio Corp Office

*I am interested in employment Choose One yes no

*I would consider re-location Choose One yes no

*Last year employed (with Bullock) year 2002 2001 2000 1999 other

If you were in sales what were your sales:
2000 $ Units
2001 $ Units
2002 $ Units

* check one box
resume to follow via email
I need a PO address to send my resume
other - message

* Please Include comments


*complete all fields