| Position
Desired |
|
|
| Full
Time or Part Time |
|
|
| Date |
|
Example:
08/08/2008 |
| First
Name |
|
|
| Middle
Name |
|
|
| Last
Name |
|
|
| Present
Street Address |
|
| City |
|
|
| State |
|
|
| Zip
Code |
|
|
| How
Long Have You Lived There |
Years Months |
|
| Home
Phone |
405-555-1212 |
|
| Cell
Phone |
405-555-1212 |
|
|
Have You Ever Applied
At This Dealership Before? |
|
|
If Yes, Please Give
Date & Position |
|
| Have
you ever pled guilty , or no contest to, or been convicted of any
misdemeanor or felony? |
|
|
If Yes, Please Give
Date & Details |
|
|
Note: Answering
"YES" to these questions does not constitute an
automatic bar to employment. Factors such as age and time of the
offense, seriousness and nature of conviction, and rehabilitation
will be taken into account. (Do not include minor traffic
citations and arrests or convictions that have been sealed or
expunged in answering this question). |
| Driving
Information: |
Complete the
following if applying for position which requires driving: |
| Do
you have a current Driver's License? |
|
|
| State |
|
License Number |
|
Expiration Date |
|
| Has
your driver's license ever been suspended or revoked? |
|
|
If Yes, Please
Explain Circumstances |
|
| Do
You Have Automobile Insurance? |
|
|
|
If NO, Please Explain
Circumstances |
|
| Have
you ever been cited for DUI (driving under the influence) or DWI
(driving while intoxicated? |
|
|
If YES, Please
Explain Outcome |
|
| Please
list ALL moving violations in the past (5) five years. |
|
| Offense |
Date |
Location |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Do not include
arrests or convictions that have been sealed or expunged in
answering the above questions). |
|
|
|
|
RECORD OF
PREVIOUS EMPLOYMENT |
| Employer
Name |
|
| Employer
Address |
|
| City,
State, Zip Code |
|
|
| Telephone |
|
|
| Employed
From |
Month/Year |
To Month/Year |
| Pay
Start |
Annual |
Pay Final
Annual |
| Title
or Position |
|
| Name
of Supervisor |
|
Title of
Supervisor |
| Exact
Reason for leaving |
|
|
| Employer
Name |
|
| Employer
Address |
|
| City,
State, Zip Code |
|
|
| Telephone |
|
|
| Employed
From |
Month/Year |
To Month/Year |
| Pay
Start |
Annual |
Pay Final
Annual |
| Title
or Position |
|
| Name
of Supervisor |
|
Title of
Supervisor |
| Exact
Reason for leaving |
|
|
| Have
you ever been terminated or asked to resign from any job? |
|
| Please
explain any gaps in your employment history |
|
| May
we contact your current employer? |
|
| Please
indicate any actual experience, special training and
qualifications that you have which you feel are relevant to the
position for which you are applying |
|
| Have
you ever used another name? |
|
| Is
any additional information relative to change of name, use of an
assumed name, or nickname necessary to enable a check on your work
or educational record? If yes, please explaine |
|
| Are
you capable of satisfactorily performing the essential job duties
required of the position for which you are applying? |
|
| Do
you have adequate transportation to and from work? |
|
|
How many days of work
have you missed in the last three years due to reasons other than
paid holidays or vacation? |
| Year |
Number of Days |
|
| Year |
Number of Days |
|
| Year |
Number of Days |
|
|
|
|
EDUCATION |
|
|