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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 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 did you live there?
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Have you ever worked for a dealership before?
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No
Yes
If Yes, provide dates and position
Have you ever pled guilty or no contest to, or been convicted of a misdemeanor or felony?
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No
Yes
If Yes, please give 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?
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No
Yes
If Yes, please give date(s) and details
Current or Last Employer
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Address Number and Street
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City
*
State
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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
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Exact reason for leaving?
*
Previous Employer
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Address Number and Street
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City
*
State
*
Postal Code
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Phone
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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
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Exact reason for leaving
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Have you ever been terminated or asked to resign from any job?
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No
Yes
If Yes, please explain
Please explaing fully any gaps in your employment history
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May we contact your current employer?
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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 there 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 records?
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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 cabable 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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Elementary
High School
College/University
Graduate/Professional
Trade or Correspondence
Diploma/Degree
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No
Yes
Name of School
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Do you have a current drivers license?
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No
Yes
Has your drivers 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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