Jay Malone Motors Employment Opportunities!

Personal Information

Position desired:

Part time   Full time

Type of work desired: 1.   2.

Date available to start work:

First

M

Last

E-mail

Date of Birth

Social Security Number

Current Address

Duration of Residency Years months

City State   Zip Code

Previous Address

Duration of Residency   Years   months

City   State   Zip Code

Home Phone     

Have you ever worked for this company before? Yes No

If yes, Please give dates and position

Are you at lease 18 years of Age? Yes   No

How would you get to and from work?

Do you have a valid drivers licence? Yes      No

License No.   State:  

Expiration date:

Have you been cited for a traffic violation of any kind within the past 5 years?Yes  No

if yes, Please give date and details

Have you pled guilty or "no contest" to a crime or been convicted of a crime? Yes   No

if yes, Please give date and details of each:

NOTE: Answering "yes" to this question does not constitute an automatic bar to employment.

Education

Elementary School Name

Years Completed 45678

Diploma/Degree YesNo

Describe Course of Study

High School Name

Years Completed 4 5678

Diploma/Degree YesNo

Describe Course of Study

College/University Name

Years Completed 45678

Diploma/Degree YesNo

Describe Course of Study

Graduate/Professional

Years Completed 45678

Diploma/Degree Yes No

Describe Course of Study

Describe Special Training/Military Service/Skills/ Extra Curricular Activities

Do you type? YesNo

If yes, Words per minute?

Do you take shorthand? YesNo

Words per minute?

Business Machine Experience:

Bookkeeping Experience:

Have you ever been bonded? YesNo

Name of bonding company

Have you ever been refused bonding? YesNo

Name of bonding company

Employment

Present Employer's Name

Address

City   State   Zip

Telephone

Employed From   to

Start pay   End pay

Job Title

Name of last Supervisor

Reason for Leaving

Previous Employer's Name

Address

City   State   Zip

Telephone

Employed From   to

Start pay   End pay

Job Title

Name of last Supervisor

Reason for Leaving

Previous Employer's Name

Address

City State   Zip

Telephone

Employed From   to

Start pay   End pay

Job Title

Name of last Supervisor

Reason for Leaving

Previous Employer's Name

Address

City   State   Zip

Telephone

Employed From to

Start pay   End pay

Job Title

Name of last Supervisor

Reason for Leaving

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

Have you ever been unemployed for longer than 6 months?YesNo

If yes, please explain

May we contact your current employer? YesNo

If no,   please explain

References

Please list persons who know you well. Do not list previous employers or relatives. All persons listed must have known you for at least 2 years.

Name

Occupation

Address

Telephone

Please indicate any actual experience you have in any of the following positions:

Parts Manager

Parts Counter

Parts Stocker

Parts Driver

This Application will be considered active for a maximum of thirty days. If you wish to be considered for employment after that time you must reapply.

By submitting this application I certify that all of the information that I have provided on this application is true and accurate. I also certify that I have read the following Applicant's Statement.

I understand that this application will be given every consideration, but is not a promise of employment.

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I further understand that I have the right to terminate my employment at any time with our without notice, and the company has the same right. No one other than the President of the Company has authority to modify this relationship or to make any agreement to the contrary. Any such modification or agreement must be in writing.

I understand that the Company may investigate my driving record. I further understand that the Company may contact my previous employers and references. I authorize those employers and references to disclose all pertinent information and records to the company.

I hereby state that all of the information that I provided on this application and in any interview is true and accurate, I understand that if I am employed and any such information is later found to be false in any respect, I may be dismissed.