fields are required.
Application for Employment
Application for Employment
First Name:
Last Name:
Middle Name
Social Security Number:
Address:
City:
State:
choose one:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Contact Information
(Area Code) Daytime Phone:
(Area Code) Evening Phone:
(Area Code) Cell Phone:
EMail:
Questionnaire
Have you ever applied for employment with us?
If Yes: Month and Year
Location:
Have you worked for us before?
Dealership
Position/Occupation:
If yes: From
To
Position Seeking
Pay Expected:
Are you over 18 Years of age?
If no, you will be required to furnish a work permit prior to beginning employment.
Are you available for full-time work?
If no, what hours can you work?
Will you work overtime if asked?
When will you be available to begin work?
List any special training or skills (machine operation, etc.)
How did you learn of our organization
choose one:
Classifieds
Family
Friend
Radio
Web
TV
If applicable, list the name of relatives or friends working for us
Have you any limitations which preclude you from performing certain jobs or arriving to work on time?
If yes, describe in full:
Driver's License Information
Driver's License Information
Drivers License No:
State Issued:
choose one:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Expiration date:
List any restrictions:
Have you had any moving violations in the past 36 months that are on your driving record?
If yes, describe in full:
Employment History
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employment.
Employer
Address
City:
State:
choose one:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone:
Supervisor/Contact
Title
Your Job Title
Describe Your Job
Reason for Leaving?
Weekly Gross Pay:
Employed From:
To
Previous Employer
Previous Employer
Address
City
State
choose one:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone
Supervisor
Title
Your Job Title
Describe Your Job
Reason for Leaving
Weekly Gross Pay
Employed From:
To
Previous Employer
Previous Employer:
Address:
City:
State:
choose one:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone:
Supervisor
Title
Your Job Title
Describe Your Job
Reason for Leaving
Weekly Gross Pay
Employed From:
To
Previous Employer
Employer
Address
City
State
choose one:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone
Supervisor
Title
Your Job Title
Describe Your Job
Reason for Leaving?
Weekly Gross Pay
Employed From:
To
We may contact the employers listed above unless you indicate "DO NOT CONTACT" next to the company name above that we may not contact.
Education
Name of High School
Location
Course of Study
Yrs. Completed
Did You Graduate?
If Graduated, Choose one from below:
Name of College
Location
Course of Study
Yrs. Completed
Did You Graduate?
If Graduated, Choose one from below:
Post Graduate School Name
Location
Course of Study
Yrs. Completed
Did You Graduate?
If Graduated, Choose one from below:
Other
Location
Course of Study
Yrs. Completed
Did You Graduate?
If Graduated, Choose one from below:
Additional Info
State any additional information you feel may be helpful to us in considering your application.
Personal References:
List three references who are qualified to evaluate your capabilities, who are not related to you nor previous employers.
Personal Reference
Phone
Address
City and State
Personal Reference
Phone:
Address
City and State:
Personal Reference
Phone:
Address
City and State:
Applicant Information
Have you been convicted of a crime in the past 10 years, excluding misdemeanors and summary offenses, which have not been annulled, expunged, or sealed by a court?
If yes, describe in full:
Are you either a US citizen or an alien who has the legal right to work in the job for which you are applying?
Pursuant to the Immigration Reform and Control Act of 1986, all applicants, upon being made an offer of employment, must produce documents, which are specified by the federal government, establishing their identity and authorization for employment in the United States.
These documents must be produced no later than seventy-two hours after commencement of employment. You will also be required to sign Form I-9 (issued by the federal government) verifying, under oath, your employment authorization.
Disclaimers and Signature
Disclaimers and Signature
The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in dismissal.
I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.
The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in dismissal.
I have read the statements above and by checking this box, I agree to abide by all the terms set forth.
(Initial here) *required