Employment Application Form
NOTE: Applicants must complete this entire application in order to be considered for employment. If a particular question or field is not applicable, simply mark it as "n/a". Applications will be kept active for six months and retained for up to two years.
1. Personal Information
First Name
  Last Name
E-mail Address
Home Address
City, State, Zip ,   
Home Phone (555-555-5555)
Work Phone May we contact you at work?
Best Time to
Reach You
Date Available (mm/dd/yyyy)
Salary Desired (annual)
  Are you legally eligible for employment in the United States?
  If you are under 18 years of age, can you furnish a work permit?
  Have you ever been convicted* of a felony, misdemeanor, or other offense (other than a minor traffic violation)?

If so, please provide complete details:

*Any such conviction will not necessarily disqualify you from employment.
Education
Education Level Name Location Major Studies Dates Did You
Graduate?		 Degree
High School / G.E.D.*  
Business / trade School*
College / University*
Graduate School*
Other (specify)
  *transcript(s) may be requested
  Are you currently pursuing further studies? If yes, what courses and when?

   
Training & Skills
Describe any skills, knowledge, or abilities related to the job for which you are applying
How did you hear about us?
   
Work Experience - Current
  List all previous work experience, beginning with current or most recent employment. Show US. Military Service as work experience.
Organization
Address
City, State, Zip ,   
Phone Number
Job Title
Supervisor's Name & Title
Dates Employed From To (mm/dd/yyyy)
Salary Start Final Hrs/Week
Responsibilities
Reason for Leaving
  May we contact your current Employer?
Work Experience - 2
Organization
Address
City, State, Zip ,   
Phone Number
Job Title
Supervisor's Name & Title
Dates Employed From To (mm/dd/yyyy)
Salary Start Final Hrs/Week
Responsibilities
Reason for Leaving
Work Experience - 3
Organization
Address
City, State, Zip ,   
Phone Number
Job Title
Supervisor's Name & Title
Dates Employed From To (mm/dd/yyyy)
Salary Start Final Hrs/Week
Responsibilities
Reason for Leaving
   
Professional References - 1
  (excluding former employers or relatives)
Name
Address
City, State, Zip ,   
Occupation
Daytime Phone
Professional Relationship
to Applicant
Professional References - 2
  (excluding former employers or relatives)
Name
Address
City, State, Zip ,   
Occupation
Daytime Phone
Professional Relationship
to Applicant
Professional References - 3
  (excluding former employers or relatives)
Name
Address
City, State, Zip ,   
Occupation
Daytime Phone
Professional Relationship
to Applicant
   
Conditions of Application
(Please read carefully before submitting this application)
  In applying to work for Route 44 Autogroup, I understand and agree as follows:
  1. True and Complete Information. I understand that all the information I furnish in my employment application and related documents and during my employment interview must be true and complete. I certify that all such information is or will be true and complete and that I have included any additional information or explanations that may be appropriate. I further understand that any false statement by me in this application or in any related document or the omission of any requested information will be cause for rejection of my application or for my dismissal if I have already been employed.
  2. Acknowledgment. I understand I may ask questions regarding any of the information requested in this application or in any related document, and I acknowledge that any questions I asked were answered to my satisfaction. I further acknowledge that I have read and understood the preceding Conditions or Application.
  I have read and understood the Conditions of Application and agree to these conditions