APPLICATION FOR EMPLOYMENT

ABOUT OUR DEALERSHIP

Thank you for your interest in applying for a job with our Dealership. Because of our commitment to offering the highest possible satisfaction to our customers, we are only interested in hiring the best. We want to have a complete understanding of your qualifications, motivations and interests, so that we can make careful and deliberate hiring decisions that will benefit both the Dealership and our employees. Please answer the following questions honestly, completely and thoughtfully. This application must be completed in full, even if you are attaching a resume. Incomplete applications will not be considered. The Dealership is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, pregnancy, military status, national origin, ancestry, age, veteran status, disability, genetic information or any other legally-protected classification.


Fields marked with * are required.

PERSONAL INFORMATION

Name: *
Date Of Application:
Address:
City:
State:
Zip Code:
Phone:
If you are under 18 years of age, do you have a work permit?

Yes No
If you have ever worked under anothername, please identify:

YOUR JOB INTERESTS

Position Desired:
Date you can start work:
What starting salary or wage do you expect? (Weekly)
Are you available for full-time work?

Yes No
Are you available for part-time work:

Yes No
Are you willing to work any shift?

Yes No
If no, what shift(s) are you willing to work?
Are there any days and/or times of the week when you wouldnot be available to work? Please Specify:
How did you learn of this job opening?
Have you ever worked for this dealership before?

Yes No
If yes, when?
Who was your supervisor?
Why did you leave?
Do you know anyone who works here?

Yes No
If yes, who?
Have you ever applied to work with us before?

Yes No
If yes, when?

YOUR EDUCATION AND TRAINING

Please Select Highest Grade Completed:
Grade School:

1 2 3 4 5 6 7 8
High School:

9 10 11 12
College:

1 2 3 4 5
Trade/Tech:

1 2 3 4
What was the last school you attended?
Did you graduate?
What degree(s) have you achieved?
What extracurricular activities did you participate in, or special skills did you acquire, at the above-circled school(s) that might be helpful with the job for which you are applying?

YOUR WORK EXPERIENCE

Beginning with your present or most recent employer, describe your employment experiences below:

Are you presently employed?

Yes No
Are you on layoff and subject to recall?

Yes No
If yes, to where?

1. PRESENT OR LAST EMPLOYER


Address:
Kind of Business:
Phone:
Starting Position:
Pay:
Final Position:
Pay:
Employed From: (month/year)
Employed To: (month/year)
Name and Title of Supervisor:
Description of your work and responsibilities:
Reason for leaving:
Will you receive a satisfactory reference from this employer?

Yes No
If no, please explain:
May we contact your present employer at this time?

Yes No
If no, please explain:

2. NEXT PREVIOUS EMPLOYER


Address:
Kind of Business:
Phone:
Starting Position:
Pay:
Final Position:
Pay:
Employed From: (month/year)
Employed To: (month/year)
Name and Title of Supervisor:
Description of your work and responsibilities:
Reason for leaving:
Will you receive a satisfactory reference from this employer?

Yes No
If no, please explain:

3. NEXT PREVIOUS EMPLOYER


Address:
Kind of Business:
Phone:
Starting Position:
Pay:
Final Position:
Pay:
Employed From: (month/year)
Employed To: (month/year)
Name and Title of Supervisor:
Description of your work and responsibilities:
Reason for leaving:
Will you receive a satisfactory reference from this employer?

Yes No
If no, please explain:

4. NEXT PREVIOUS EMPLOYER


Address:
Kind of Business:
Phone:
Starting Position:
Pay:
Final Position:
Pay:
Employed From: (month/year)
Employed To: (month/year)
Name and Title of Supervisor:
Description of your work and responsibilities:
Reason for leaving:
Will you receive a satisfactory reference from this employer?

Yes No
If no, please explain:

PERSONAL INFORMATION

If you are hired, can you submit verification of your legal right to work in the United States (e.g., driver's license, passport, visa, green card)?

Yes No
Have you ever been discharged or asked ro resign by an employer?

Yes No
If yes, please explain:

A record of criminal conviction will not necessarily be a bar to employment, since the Dealership will consider factors such as the position for which you are applying, the age and time of the offense, when it occurred, the nature and seriousness of the violation, and the evidence of rehabilitation in making any employment decision.

Have you ever been convicted of, plead guilty to, or charged with a crime, other than minor traffic violations (other than a matter that has beenexpunged or sealed)?

Yes No
If your answer is yes, please explain:
Do you have a valid driver's license?

Yes No
License number and state:
Have you had an accidents in the last five years?

Yes No
If yes, please give details:
Have you been cited for any moving violations in the last five years?

Yes No
Has your driver's license ever been suspended, revoked, denied or cancelled?

Yes No
If yes, please explain:

YOUR MILITARY EXPERIENCE

Completing this section of the application is optional. Leave this area blank if you do not wish to answer.

Have you ever been in the United States Armed Services?

Yes No
What branch?
Describe any skills you acquired in the Service that would be useful to the job for which you are applying:

YOUR REFERENCES

REFERENCE ONE

Name:
Occupation:
Address:
City:
Phone:
Relationship to Applicant:

REFERENCE TWO

Name:
Occupation:
Address:
City:
Phone:
Relationship to Applicant:

REFERENCE THREE

Name:
Occupation:
Address:
City:
Phone:
Relationship to Applicant:

PLEASE READ THE FOLLOWING PARAGRAPHS CAREFULLY BEFORE SIGNING AND INITIALING AFTER EACH PARAGRAPH

By signing below and initialing after each paragraph, I certify that I have read, understand and agree to each of the following statements:

All of the information I have supplied on this application is true, accurate and complete, to the best of my knowledge, and I have not knowingly withheld any information that, if known to the Dealership, would affect my application unfavorably. If I am hired by the Dealership, and if the Dealership discovers at any time during my employment that any of the statements or answers on this application are false, misleading or incomplete, I may be dismissed immediately from my job.

Initial Here:

This employment application will be considered active for ninety (90) days from the date below. If I want to be considered for a job with the Dealership after this period of time I must fill out another application. If hired, I understand that this application becomes part of my official employment record. In consideration of my employment with the Dealership, I agree to abide by all the Dealership's rules and regulations.

Initial Here:

If I am extended an offer of employment, I agree to submit to a medical examination that may include testing for drugs or alcohol prior to beginning work with the Dealership and I understand that any offer of employment is conditioned upon passing such medical examination and/or testing. I understand that if I am employed by the Dealership, I may be required, when job related and consistent with the Dealership's business needs, to undergo a medical examination. I further understand that I may be required to submit to an alcohol or drug test at any time.

Initial Here:

I understand that nothing in this employment application creates a contract of employment between the Dealership and me. If I am hired by the Dealership, my employment and compensation are "at will," which means that my employment can be terminated, either by the Dealership or me, with or without cause, and with or without notice. I understand that no manager or supervisor has the authority to make any employment agreement with me, either orally or in writing, that is not an at-will agreement. Only the President of the Dealership has the authority to enter into an employment agreement with me for any specified period of time.

Initial Here:

I agree to release to the Dealership or its designated agents, all medical information, including but not limited to files, reports, x- rays, evaluations and opinions held by medical personnel, to the extent such information is job-related and consistent with the Dealership's business needs, and agree to execute the necessary HIPAA-compliant release. I acknowledge that this is a general release and that if hired, it remains in effect for the duration of my employment.

Initial Here:

In the event of my personal indebtedness to the Dealership, I authorize the Dealership to withhold from my wages such amounts as permitted by law to satisfy my obligation to the Dealership.

Initial Here:

I give the Dealership my permission to conduct any investigation regarding the information contained in my employment application that the Dealership thinks is necessary to determine my qualifications for assuming a job with the Dealership. I give the Dealership my permission to contact any former employer, school, college or university, utility company, credit or finance bureau or office, any personal or professional reference, or any other appropriate source or individual for the purpose of gathering any information, personal or otherwise, that such sources may have about my character, general reputation, credit, education or employment record, and I give my consent to any such source to release to the Dealership whatever information they have about me. I also unconditionally release all named and unnamed sources from any and all liability which might result from furnishing any information about me.

Initial Here:

In exchange for the Dealership considering my application, I agree that any claim or lawsuit I have now or in the future against the Dealership its subsidiaries, successors, assigns, managers, employees and/or agents must be filed by me within one year from the date of the act or omission that is the subject of my claim or lawsuit, or within the applicable statute of limitations, whichever time period is shorter. Thus, I expressly waive any statute of limitations period for any such claim or lawsuit longer than one year, regardless of the nature of the claim or action. As further consideration for these promises by me, the Dealership agrees to waive any statute of limitations period longer than one year from the date of the act or omission that is the subject of any claim or lawsuit it might file against me.

Date:
Signature:
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