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Employment Application
This company is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, religion, sex, age, marital status, national origin, disability, status as a disabled or Vietnam Era Veteran, or nay other basis prohibited by applicable laws.
Position Desired:
FULL TIME:
PART TIME:
Personal Data
Last Name:
First Name:
M:
Today's date
(MM/DD/YY):
Email Address:
Present Address
Street Address:
City:
State:
Zip:
How long have you lived there?
Years
Months
Previous Address
Street Address:
City:
State:
Zip:
How long did you live there?
Years
Months
Home Telephone #:
Social Security #:
Are You 18 Years or Older?
YES
NO
Have you ever worked for this company before?:
YES
NO
If yes, please list the date(s)
If yes, please list the position(s)
Do you have any friends or relatives working here?:
YES
NO
If yes, Name
Do you have a reliable means of transportation to travel to and from work which will allow you to consistently arrive at work on time?:
YES
NO
If a drivers's license is required for the position for which you are applying, do you have a valid driver's license?:
YES
NO
License No.
State (abbr):
Expiration Date:
Have you ever been cited for a traffic violation of any kind within the last 5 years?:
YES
NO
If yes, please give date and details:
Have you ever been convicted of a crime or received a verdict of anything other than not guilty in any criminal investigation or proceeding?:
YES
NO
If yes, describe when the conviction occured, the facts and circumstances, and any facts pertaining to rehabilitation. (Do not list any criminal charges for which the records have been explunged or sealed. A criminal offense will not necessarily bar employment.)
Educational Information
Elementary
School Name
Last year completed:
4th
5th
6th
7th
8th
High School
School Name
Last year completed:
9th
10th
11th
12th
Major Course of Study
Graduated:
Yes
No
College
School Name
Last year completed:
1st
2nd
3rd
4th
Major Course of Study
Graduated:
Yes
No
Graduate/Professional
School Name
Last year completed:
1st
2nd
3rd
4th
Major Course of Study
Graduated:
Yes
No
Describe Specialized Training, Military Experience, Skills, and Extra-Curricular Activities:
Record of Previous Employment
Please list the names of your previous employers in chronological order with present or last employer listed first.
Be sure to account for all periods of time
including military service and any period of unemployment. If self-employed, give firm name and supply business references.
Present or most recent employer: (1)
Company Name
Company Street Address
City
State
Zip
Company Telephone#
Supervisor's Name
Position
Employed From - To (mo./yr.)
Wage/Salary (start/final)
Reason for Leaving
Previous Employer (2)
Company Name
Company Street Address
City
State
Zip
Company Telephone#
Supervisor's Name
Position
Employed From - To (mo./yr.)
Wage/Salary (start/final)
Reason for Leaving
Previous Employer (3)
Company Name
Company Street Address
City
State
Zip
Company Telephone#
Supervisor's Name
Position
Employed From - To (mo./yr.)
Wage/Salary (start/final)
Reason for Leaving
Previous Employer (4)
Company Name
Company Street Address
City
State
Zip
Company Telephone#
Supervisor's Name
Position
Employed From - To (mo./yr.)
Wage/Salary (start/final)
Reason for Leaving
Have you ever been terminated or asked to resign
from any job:
YES
NO
If yes, please explain circumstances:
Please explain fully any gaps in your employment history:
References
Please list persons who know you well - Not previous employers or relatives
Reference 1
Name
Street Address
State
Zip
No. of Years Known
Telephone #
Occupation:
Reference 2
Name
Street Address
State
Zip
No. of Years Known
Telephone #
Occupation:
Reference 3
Name
Street Address
State
Zip
No. of Years Known
Telephone #
Occupation:
Reference 4
Name
Street Address
State
Zip
No. of Years Known
Telephone #
Occupation:
Additional Information
Please indicate any actual experience you have in any of the following positions:
Office
Office Manager
Bookeeper
Accounts Receivable
Accounts Payable
Payroll Clerk
Tag/Title Clerk
Warranty Clerk
Data Entry
Cashier
Sales/Leasing
Sales Manager
Sales Person (New Car)
Sales Person (Used Car)
Sales Person (Truck)
F & I manager
Leasing Manager
Fleet Manager
Truck Manager
Used Car MAnager
Service & Repair
Service Manager
Service Writer/Advisor
Dispatcher
Shop Foreman
Mechanic/Technician
Electrician
Helper
Painter
Body Repair
Get Ready
Parts
Parts Manager
Parts Counter
Parts Stocker
Parts Driver
This application will be considered active for a maximum of thirty (30) days. If you wish to be considered for employment after that time, you must reapply.
I have read this employment application and I fully uinderstand its contents. I hereby certify that all of the information that I have provided ont his application is true and accurate, and that I have not omitted any of the information called for. I understand that any false statements or omissions made by me in connection with this application, in interviews, or responding to further requests for information is sufficient ground for my rejection and an applicant or my dismisal if I have been hired, regardless of when the falsity or omission is discovered.
Country Club Chrysler
Route 19 South
Clarksburg, WV 26301
304.624.7611
© 2007 Country Club Chrysler. All Rights Reserved.
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