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Position Applying For*
Time Full Time Part Time
First Name*
Middle Name*
Last Name*
Email*
Current Address
City
State
Phone*
Are you 18 years of age or older?* Yes No
Previous Address
City
State
Have you ever worked for this company before?* Yes No
If Yes please give dates and position
How would you get to and from work?
Do you have any friends or relatives working here?* Yes No
If Yes, Name
Relationship
Have you ever 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
1. Enter most recent position information
Present or Last Employer*
Address*
State*
City*
Phone*
Position*
Name and Title of Last Supervisor*
Start Date*
End Date*
Pay Start $*
Final $*
Reason for Leaving*
2. Enter second most recent position information
Previous Employer
Address
State
City
Phone
Position
Name and Title of Last Supervisor
Start Date
End Date
Pay Start $
Final $
Reason for Leaving
3. Enter third most recent position information
Previous Employer
Address
State
City
Phone
Position
Name and Title of Last Supervisor
Start Date
End Date
Pay Start $
Final $
Reason for Leaving
Previous Employer
Address
State
City
Phone
Position
Name and Title of Last Supervisor
Start Date
End Date
Pay Start $
Final $
Reason for Leaving
Have you ever been terminated or asked to resign from any job?* Yes No
If Yes, please explain the circumstances:
Please explain fully any gaps in your employment history:
May we contact your current employer?* Yes No
If No, please explain:
Please indicate any actual experience that you have had in any of the following positions.
Office Controller Office Manager Bookkeeper Accounts Receivable Accounts Payable Payroll Clerk Tag/Title Clerk Warranty Clerk Data Entry Cashier
Sales/Leasing Sales Manager New Car Sales Used Car Sales Truck Sales F & I Manager Leasing Manager Fleet Manager Truck Manager Used Car Manager After Market Sales
Service and Repair Service Manager Service Advisor Dispatcher Shop Foreman Mechanic/Technician Electrician Helper Painter Body Repair Get Ready/Prep
Parts Parts Manager Parts Counter Parts Stocker Parts Driver
Other
Elementary School Name*
Years Completed* 4 5 6 7 8
Diploma/Degree*
Describe Course of Study or Major
Describe Specialized Training, Experience, Skills, and Extra Cirricular Activities for this level
High School Name*
Years Completed* 9 10 11 12
Diploma/Degree*
Describe Course of Study or Major
Describe Specialized Training, Experience, Skills, and Extra Cirricular Activities for this level
College/University Name
Years Completed 1 2 3 4
Diploma/Degree
Describe Course of Study or Major
Describe Specialized Training, Experience, Skills, and Extra Cirricular Activities for this level
Graduate/Professional School Name
Years Completed 1 2 3 4
Diploma/Degree
Describe Course of Study or Major
Describe Specialized Training, Experience, Skills, and Extra Cirricular Activities for this level
Trade or Correspondence School Name
Years Completed
Diploma/Degree
Describe Course of Study or Major
Describe Specialized Training, Experience, Skills, and Extra Cirricular Activities for this level
Other
Years Completed
Diploma/Degree
Describe Course of Study or Major
Describe Specialized Training, Experience, Skills, and Extra Cirricular Activities for this level
In case of an accident or other emergency, who should we contanct?
Name*
Relationship*
Home Address*
City*
State*
Phone*
Work Address*
City*
State*
Phone*
Please list persons who know you well -- Not previous employers or relatives
Name*
Occupation*
Phone Number*
Street Address*
City*
State*
Number of Years Known*
Name*
Occupation*
Phone Number*
Street Address*
City*
State*
Number of Years Known*
Name*
Occupation*
Phone Number*
Street Address*
City*
State*
Number of Years Known*
Name*
Occupation*
Phone Number*
Street Address*
City*
State*
Number of Years Known*
Do you have a current driver's license?* Yes No
State*
License Number*
Expiration Date*
Has your driver's license ever been suspended or revoked?* Yes No
If Yes, please explain circumstances
Do you have personal automobile insurance?* Yes No
Name of Insurance Company*
Has your personal automobile insurance ever been cancelled?* Yes No
If Yes, please explain circumstances
Have you ever been cited for driving under the influence (DUI) or driving while intoxicated (DWI)?* Yes No
If Yes, please explain circumstances and outcome
Please list all moving traffic violations in the last five (5) years:
Offense
Date
Location
Offense
Date
Location
Offense
Date
Location
Offense
Date
Location
I agree to the following:*
I authorize Crown Automotive to obtain and review my Motor Vehicle Record (MVR) before employment is offered to ensure that my driving record is within the parameters set by Crown Automotive.*
I authorize Crown Automotive to obtain one or more consumer reports on me for employment-related purposes.*