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Job Opportunity
First Name
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Middle Name
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Last Name
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Email Address
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Phone Number
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Current Address Number and Street
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City
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State
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Postal Code
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How Long Have You Lived There?
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Previous Address
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Previous City
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Previous State
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Previous Postal Code
*
How long did you live there?
*
Have you ever worked for a dealership before?
*
Please Select
No
Yes
If Yes, please give dates and position:
Have you ever pled guilty or 'no contest' to, or been convicted of a misdemeanor or felony?
*
Please Select
No
Yes
If Yes, Please give the date(s) and details:
Have you been arrested for any matters for which you are out on bail or on your own recognizance pending trial?
*
Please Select
No
Yes
If Yes, please give the date(s) and details:
Present or Last Employer
*
Address
*
City, State, Postal Code
*
Phone
*
Employed From and To Dates
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Pay Start $
Pay Final $
Job Title or Position
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Name and Title of Supervisor
*
Exact reason for leaving
*
Previous Employer
Address
City, State, Postal Code
Phone
Employed From and To Dates
Pay Start $
Pay Final $
Title or Position
Name and Title of Supervisor
Exact Reason for Leaving
Have you ever been terninated or asked to resign from any job?
*
No
Yes
If Yes, please explain circumstances
Please explain fully any gaps in your employment history
May we contact your current employer?
*
No
Yes
If No, please explain
Please indicate any actual experience, special training and qualifications that you have which you feel are relevant to the position
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Have you ever used another name?
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No
Yes
Is any additional information relative to change of name, use of an assumed name, or nickname necessary to enable a check on your work and educational record?
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if hired, can you furnish proof that you are over 18 years of age?
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No
Yes
Are you capable of satisfactorily performing the essential functions of the job duties for the position for which you are applying, with or without reasonable accommodation?
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No
Yes
Do you have adequate transportation to and from work?
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No
Yes
Level of Education
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Please Select
Elementary
High School
College/University
Graduate/Professional
Trade or Correspondence
Diploma/Degree
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No
Yes
Name of School
*
Do you have a current driver's license?
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No
Yes
Has your driver's license ever been suspended or revoked?
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No
Yes
If yes, please explain
Do you have personal automobile insurance?
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No
Yes
If No, please explain
Have you ever been convicted for driving under the influence (DUI) or driving while intoxicated (DWI)?
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No
Yes
If Yes, please explain the outcome
Please list all moving traffic violations in the last five years for which you have been convicted or pled guilty/no contest: Include offense, date and location
*
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