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Employment Application

How long have you lived here?
 
 

Employment Interest

If under the age of 18, can you provide the required work permit at time of employment?
Type of employment desired?
Are you willing to work overtime?
Have you previously applied for employment with this company?
Have you ever been employed by this company?
If yes, provide dates of employment, location, and reason for separation from the company
If applicable, list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc.
 

Education

Education
School name, address, state, city and zipcode
Course of study
Graduated (Y/N)?
# Years Completed
Degree / Major
High School
College
Business / Tech / Trade or other Post-College
 

Work Experience

Please list the names of your present and/or previous employers in chronological order, with present or most recent employer listed first. Provide information for the 5 most recent employers. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you from consideration for employment. Do not answer "see resume".

Employer #1

Dates Employed
May We Contact?
Wages
What will this employer say was the reason your employment was terminated?
How much notice did you give when you resigned?
If none, explain

Employer #2

Dates Employed
May We Contact?
Wages
What will this employer say was the reason your employment was terminated?
How much notice did you give when you resigned?
If none, explain

Employer #3

Dates Employed
May We Contact?
Wages
What will this employer say was the reason your employment was terminated?
How much notice did you give when you resigned?
If none, explain

Employer #4

Dates Employed
May We Contact?
Wages
What will this employer say was the reason your employment was terminated?
How much notice did you give when you resigned?
If none, explain

Employer #5

Dates Employed
May We Contact?
Wages
What will this employer say was the reason your employment was terminated?
How much notice did you give when you resigned?
If none, explain

Have you ever been terminated or asked to resign from a job?
Has your employment ever been terminated by mutual agreement?
Have you ever been given the choice to resign rather than be terminated?
If you answered Yes to any of the above 3 questions, please explain the circumstances of each occasion.
 

References

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school of volunteer-related references.
Name
Position
Company
Work Relationship
Telephone

Please list the names of personal references (not previous employers or relatives) who know you well that we may contact.
Name
Occupation
Address
Telephone
# Years known
 

Additional information: Please indicate where you have actual experience in any of the following positions:


Office
 Office Manager
 Bookkeeper
 Accounts Receivable
 Accounts Payable
 Payroll Clerk
 Tag/Title Clerk
 Warranty Clerk
 Data Entry
 Cashier
 Receptionist
 Other
Sales & Leasing
 Sales Manager
 Sales (New Car)
 Sales (Used Car)
 Sales (Truck)
 F & I Manager
 Leasing Manager
 Fleet Manager
 Truck Manager
 Used Car Manager
 Rentals
 Other
Service & Repair
 Service Manager
 Service Writer/Advisor
 Dispatcher
 Shop Foreman
 Mechanic/Technician
 Electrician
 Helper
 Painter
 Body Repair
 Make Ready
 Other
Parts
 Parts Manager
 Parts Counter
 Parts Stocker
 Parts Driver
 Other
Other
 Machinist
 Porter/Janitor
 Security
 Driver/Messenger
 Maintenance
 


 
If the applicant is a minor, the foregoing release and consent must be signed by the applicant's parent or legal guardian. Signature by the applicant's parent or legal guardian constitutes acknowledgement by the applicant and the parent or legal guardian that the Company, to the extent permitted by federal, state, and local law, can test the applicant for illegal or controlled substances, conduct inspections of property without notice, and communicate test results to Company personnel who need to know, the applicant, and the applicant's parent or legal guardian.