Employment Application (Please print legibly.)

Transcription

1 Personal Information Last First Middle Initial Other s Used List All Used. Present No. Street City State Zip Code Previous No. Street City State Zip Code Home Telephone ( ) Cell Telephone ( ) Date Are you legally eligible to for employment in the U.S.? Yes No Are you over 18 years of age? Yes No How did you learn about this opening? Position applied for 1. Rate of pay desired $ per 2. Rate of pay desired $ per Hours of employment full-time part-time If part-time, specify days and hours Saturdays Sundays Overtime Have you ever worked at Guaranty before? Yes No If Yes, when and where? Do you know any Guaranty employees? Yes No If Yes, who? Employment with Guaranty is based on qualifications and suitability for the position. Applicants will not be discriminated against on the basis of race, creed, color, religion, gender, national origin, age, marital status, sexual orientation or disability. To help us learn about your experience, abilities and education, please complete this employment application as thoroughly as possible. Applicants with disabilities are encouraged to request any accommodation needed to complete the job application process.

2 Employment History Supervisor s Supervisor s Supervisor s Supervisor s

3 Skills Typing (wpm) Word processing (Specify) PC (Specify) Software (Specify) Other (Specify) List languages in which you are fluent If the job requires it, do you have the appropriate Valid Driver s License? Yes No DL# Type: State of Issue: Yes No Have you had any moving violations? Describe Yes No Have you been given a job description or had the requirement verbally explained to you? Yes No Do you understand these requirements? Yes No Can you perform the requirements of this job with or without reasonable accommodation? Yes No Have you ever been convicted of any criminal offense? A Yes response does not automatically eliminate you from employment consideration. (You may omit: (a) any offense committed before your 21st birthday, which was finally adjudicated in a juvenile court or under a Youth Offender law, (b) any conviction, the record of which has been expunged under federal or state law, and (c) any conviction set aside under the Federal Youth Corrections Act or state authority.) If you have circled Yes, describe in full on a separate sheet of paper, which must be annotated with your name. Professional References (Please do not list relatives.) Place of Employment Title Business Business Phone Home Phone Place of Employment Title Business Business Phone Home Phone Place of Employment Title Business Business Phone Home Phone

4 Education High School Attended Circle highest grade completed in high school of School Location Dates Attended Graduated Yes/No Type of Degree, Diploma, Certificates, and Major Field of Study Other professional and technical training Occupational goals, additional skills, etc.

5 Employment Agreement ATTENTION: READ THE FOLLOWING PARAGRAPHS CAREFULLY BEFORE SIGNING BELOW. I CERTIFY that the statements made by me are true, complete and correct to the best of my knowledge. I understand that a false or dishonest answer to any question may be grounds for cancellation of my application or my dismissal after employment. GUARANTY is hereby authorized to make any investigation of my personal, educational and employment history. I understand that GUARANTY may verify my educational record, secure transcripts of that record, if so desired, make inquiries of former employers as to my job performance, request consumer reports from recognized agencies of GUARANTY S choice for the purpose of evaluating my application for employment. I hereby release GUARANTY, any person, educational body and former employer from any and all claims of whatever nature I might have as a result of a response given to inquiries made by GUARANTY. I will voluntarily provide information requested on the attached Authorization to Release Information form for the purpose of verification of such information as is necessary to complete a background investigation of me. I also understand that the use of illegal drugs is prohibited by this organization and in accordance with company policy. I m willing to submit to drug testing to detect the use of drugs prior to and during employment. If I am hired by GUARANTY I agree, in consideration of my employment, to abide by the policies, procedures and rules, or other management communications, as may be directed to employees of GUARANTY. I also agree and understand that my employment and compensation may be terminated at any time, with or without notice, with or without cause, by GUARANTY. Additionally, I understand that I may resign from my position at any time. I further understand that my employment relationship will be at will, that I am not being hired for any specified period of time, and that no supervisor or manager of GUARANTY, has any authority to enter into any other agreement for employment or to make any agreement contrary to the foregoing. All employment offers are made contingent on satisfactory completion of background checks of past employment and education, drug screening and motor vehicle driving records. This application will be considered current for no longer than 30 days from the date of receipt. If I want to be considered for employment after this time, I must complete another application form. I understand that smoking of any kind or the chewing of tobacco is prohibited in all GUARANTY locations except in specifically designated areas. I acknowledge that I have read and understand the above statements. Sign Date

6 Personal History Authorization Authorization to Release and Obtain Personal History Reports I hereby authorize Guaranty Chevrolet, Inc. or Guaranty RV, Inc. (Guaranty) to obtain any information in your files pertaining to my records of employment, military service and educational records (including, but not limited to, academic, achievement, attendance, athletic, personal history and disciplinary records); and law enforcement records of my conviction for any criminal offense. I hereby request you to release such information upon the request of the bearer. This release is authorized with the full understanding that the information is for the exclusive use of Guaranty and incorporation in a report, which will become a permanent record of my application for employment. I hereby release you as the custodian of such records and the organization which originated them, or any related personnel, both collectively and individually from any liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of your compliance with this authorization. Full Social Security Number - - Printed Full Signature Date of Authorization Other s Used

7 Release Motor Vehicle Report Dealership Guaranty Dealerships 20 Hwy 99 South Junction City, OR Date Fax Telephone DEALERSHIP CONTACT PERSON TO RECEIVE INFORMATION ON MVR: MVR REQUEST AND AUTHORIZATION TO RELEASE MOTOR VEHICLE REPORT Individual s Full as Stated on License Date of Birth Driver s License Number State Employee Prospective Employee Job Description Check appropriate response for each questions. Yes No Have you ever been denied a driver s license or had one suspended/revoked? Yes No Have you had any moving, traffic violations in the past 3 years? Yes No Have you had any auto accidents in the past 3 years? Yes No Will you be furnished a company auto for your personal use? IF THE ANSWER TO ANY QUESTION WAS YES, PLEASE PROVIDE DATES AND DETAILS: I hereby grant permission for Travelers Insurance to secure my Motor Vehicle Report (MVR) to determine my driving insurability under the automobile policy of the above named Dealership (hereafter referred to as Company ). I also affirm that the statements made above are stated truthfully, and without reservation. I understand that my MVR is likely to contain my driving record, including a record of arrests for driving offenses. Additionally, I understand that the contents of my MVR may be used to underwrite the Company s commercial insurance. As shown by my signature below, I give permission to Travelers Insurance to provide a copy of my MVR to the Company. I understand that once my MVR is released to the Company; Travelers Insurance is not responsible for how the Company uses such information. Sign City, State, Zip You may obtain a copy of your MVR by making a written request within 30 days of signing this release to Travelers Insurance. Travelers Insurance is under no obligation to provide you with a copy of your MVR if it has not first obtained such MVR for commercial insurance purposes. Insurable Not Insurable No MVR record for information provided Completed by Comments