Online Job Application

Personal Data

Position Applying For:
Name    SSN# 
Present Address  
City   State   Zip  		 For How long? 
Years Months
Previous Address  
City   State   Zip  		 For How long? 
Years Months
Telephone#  Are you 18 or older? Yes No  
Have you worked for this Company? 
Yes No 		If yes, please give dates and position:   
Do you have any friends of 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  
Do you have a valid Driver's License? 
Yes No 		License No. State   
Exp Date (mm/dd/yy) 
Have you been cited for a traffic violation of any kind within the last FIVE years?  Yes No If yes, please give date and details: 
Have you ever pled guity or 'no contest' to a crime or been convicted of a crime?  Yes No If yes, please give date and details: 
How many days of work have you missed in the last THREE years due to reasons other than paid holidays and vacation? Year Days  
Year Days  
Year Days  
Are you capable of satifactorily performing the essential job duties required of the position for which you are applying?  Yes No  

Education

Elementary High College/University Grad/Professional
School Name
Years completed 45678 9101112 1 2 3 4 1 2 3 4
Diploma/Degree Yes No  Yes No  Yes No 
Describe Course of Study or Major
Describe Specialized Training, Military Experience, Skills, and Extra-Curricular Activities

Employment History

Name of Present or last employer 
Employed From: 
(mo./yr.) 
Starting Pay: 
$		 Your title or position: 
Reason For Leaving: 
Address 
City,State,Zip 
  		 To: 
(mo./yr.) 
Final Pay: 
$		 Name of supervisor: 
Telephone 
 
Name of last employer 
Employed From: 
(mo./yr.) 
Starting Pay: 
$		 Your title or position: 
Reason For Leaving: 
Address 
City,State,Zip 
  		 To: 
(mo./yr.) 
Final Pay: 
$		 Name of supervisor: 
Telephone 
 
Name of last employer 
Employed From: 
(mo./yr.) 
Starting Pay: 
$		 Your title or position: 
Reason For Leaving: 
Address 
City,State,Zip 
  		 To: 
(mo./yr.) 
Final Pay: 
$		 Name of supervisor: 
Telephone 
 
Name of last employer 
Employed From: 
(mo./yr.) 
Starting Pay: 
$		 Your title or position: 
Reason For Leaving: 
Address 
City,State,Zip 
  		 To: 
(mo./yr.) 
Final Pay: 
$		 Name of supervisor: 
Telephone 
 
Name of Present or last employer 
Employed From: 
(mo./yr.) 
Starting Pay: 
$		 Your title or position: 
Reason For Leaving: 
Address 
City,State,Zip 
  		 To: 
(mo./yr.) 
Final Pay: 
$		 Name of supervisor: 
Telephone 
 
Have you ever been terminated or asked to resign from any job? Yes No If yes, please explain:
Please explain fully any gaps in your employment history.
May we contact your current employer? 
Yes No		 If no, please explain: 
 
 

Character References - List people who know you well, not previous employers or relatives

 
Name  Occupation  Address(Street, City, State) TelePhone  Years Known

 

 

 

 

Additional Information - Please indicate any actualy experience you have in the following options

 
 
Office 
Office Manager 
Bookkeeper 
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 and 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 
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