Location you were employed (ex. Breese, IL)... ?
If YES, please list their name and relationship to you ... ?
If NO, state your age... ?
If you are not a U.S. Citizen, are you lawfully authorized to work in the United States?:
If Yes, list names of employers... ?
Have you ever been convicted of a crime, pleaded guilty or "no contest" to a criminal charge, or entered into an agreement setting forth conditions for the eventual dismissal of a criminal case?:
If Yes, explain the circumstances (date, place, etc.)... ?
Enter your Degree in the space provided below.
Enter your Major in the space provided below.
Name of Present or Last Employer:
Address Phone:
Position Held: Supervisor's Name:
Start Date: End Date:
Starting Salary: Ending Salary:
Reason for leaving:
Name of Next Previous Employer:
Address: Phone:
Position Held: Supervisor's Name:
Start Date: End Date:
Starting Salary: Ending Salary:
Reason for leaving:
Name of Next Previous Employer:
Address: Phone:
Position Held: Supervisor's Name:
Start Date: End Date:
Starting Salary: Ending Salary:
Reason for leaving:
References
Please list 3 school, business or personal references. Do NOT list
relatives:
Name
Address
Phone
Years Acquainted
1.
School
Work
Personal
2.
School
Work
Personal
3.
School
Work
Personal
Employment/Application Statement
I hereby certify that I have a genuine interest in being hired and that
all of the foregoing statements are true and correct. I understand that
falsification of any of the information given herein, on any employment form or
in any interview is grounds for immediate termination, regardless of when such
falsification may be discovered.
I authorize this prospective employer to verify my statements and to
undertake an investigation to gather and keep much employment and non-employment
information as is permitted by law, and waive any legal requirement to provide
notice to me regarding reports or records given or received in accordance with
this authorization. Accordingly, all third parties [including but not limited to
individuals, businesses and government bodies] are authorized to disclose any
and all requested information to this perspective employer, and I agree to
release all third parties, as well as this prospective employer and its
employees, from any claims arising out of actions taken per these
authorizations. Furthermore, I agree to reimburse this prospective employer
and/or its employees for their attorney fees, costs and expenses in successfully
defending any lawsuit I may assert in state or federal court based on actions
connected with this Application for Employment and/or the hiring process.
I understand that my employment may be terminated at any time, with or
without cause, without liability to me for salary, wages, or other benefits
except such as may been earned up to the date of termination of services.
If accepted for employment, I agree to comply with all company policies,
procedures, rules and regulations made known to me at the time of employment or
any other times thereafter, and to perform all duties assigned to me to the best
of my ability.
I have read the 'Employment/Application Statement' - If so, type your name
in the space:
Please select the MotoMart location you would like to send this
application to: (Note, to select more than one location, hold the 'Ctrl' button
down on your keyboard as you click your selections with the mouse. All
selections will be highlighted in blue)
(Scroll through to see ALL locations)