Caro:
(866) 405-4108

Sebewaing:
(866) 399-0665
Caro (Ford/Chrysler)
Sales: 866-406-4108
Service: 866-405-4108
Parts: 866-405-4108

Sebewaing (GM)
Sales: 866-399-0665
Service: 866-399-0665
Parts: 866-399-0665

APPLICATION FOR EMPLOYMENT


THIS FORM HAS BEEN DESIGNED TO STRICTLY COMPLY WITH STATE AND FEDERAL FAIR EMPLOYMENT PRACTICE LAWS PROHIBITING DISCRIMINATION. ALL QUALIFIED APPLICANTS WILL RECEIVE EQUAL CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, RELIGION, COLOR, SEX, NATIONAL ORIGIN, AGE, MILITARY BACKGROUND, HANDICAP, MARITAL STATUS, HEIGHT, WEIGHT, OR ARREST RECORD.


Name (last, middle, first) Home Telephone Number
Social Security Number
Present Address From To
Previous Address From To
In case of Emergency Notify
Name
Address
Telephone
Position Desired
Full Time Part Time
Wages Desired
Date you can start work
How did you learn about this job?
Ever applied to this Company before? Yes No
What department? When?
If related to anyone in our employ, give name and relationship
Are you a citizen of the U.S.? Yes No
If no, do you have a permit which allows you to work in the U.S.
Do you have a valid operator's permit? Yes No     Do you own a car? Yes No
State     Driver's License Number
Has your operator's permit ever been suspended, revoked or restricted? Yes No
If yes, when and why?
Have you been in an auto accident in the past three years? Yes No
Have you ever been refused surety bond? Yes No If yes, when and why?
Have you ever been convicted of a crime? Yes No If yes, describe in full?
Have you ever been discharged or required to resign from a position? Yes No
Are you on lay-off and subject to recall? Yes No
WORK TIME LOST LAST YEAR DUE TO TARDINESS OR ABSENTEEISM
Hours Days
BRANCH OF SERVICE, IF ANY
RANK
Service Mgr
Parts Manager
Sales Manager
Office Manager
Body Shop Mgr
Shop Foreman
Bodyman
Painter
Mechanic
Helper
Tower Op.
Service Advisor
Lubrication
New Car Prep.
Washer/Polish.
Parts Counter
Parts Clerk
Parts Driver
Porter
Maintenance
Cashier
Biller
Acc. Pay./Rec
Sec./Typist
Office Clerk
Phone Op./Recept.
Computer Operator
Warranty Clerk
Book Keeper
Messenger
Used Car Salesperson
New Car Salesperson
Truck Salesperson
Finance/Ins. Person
Watchman
Other
If applicable, check in which areas of repair you are certified by the Michigan Department of State: Michigan Mechanic's Certification #
Engine tune up
Engine repair
Brakes, brake systems
Front end and steering systems
Automatic transmission
Electrical systems
Manual transmission
Heating and air conditioning
Collision - repair

Expiration Date
Have you been certified by the National Institute doe Automotive Service Excellence (NIASE)? Yes No Any notice of non-compliance?
Yes No
If yes, what areas?
HIGH SCHOOL or PREP SCHOOL
MAJOR/SUBJECT
No. of years
Degree
UNIVERSITY or COLLEGE
GRADUATE SCHOOL
OTHER - Including Military Service, Trade, or Business Schools

EXPERIENCE - BUSINESS OR PROFESSIONAL, RECORD OF LAST FOUR POSITIONS
(LIST PLACES IN ORDER STARTING WITH PRESENT EMPLOYER FIRST)

Employment Dates Name and Address of Employer Position or Title Supervisor's Name Salary Received Reason for Seperation
From Month/Year To Month/Year

Have you previously signed a non-disclosure or non-compete agreement with your current employer or past employer? Yes No
If yes, explain

PLEASE READ CAREFULLY

I certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I understand thatif employed, false statements on this application may subject me to dismissal. You are authorized to make an investigation on my employment history and my personal history through any investigative agencies or bureaus of your choice, and to contact my current and any of my former employers and I give such employers the right to release to you all records of my employment (excluding medical records) including assessment of my job performance and ability. I understand that you may require a motor vehicle record report and authorize you to obtain said report. I understand that you reserve the right to require that an offer of employment is conditional upon the results of a medical examination including but not limited to any drug screening tests. I understand that you reserve the right to require drug screening tests at any time during employment. If employed, I understand that if I need an accommodation within 182 days after I know or should have known that I need that accommodation and my failure to provide that notice will provent me from claiming that my employer failed to accommodate my handicap under the Act. This requirement does not waive an individual's rights under Americans With Disabilities Act. I further understand that the use of this form does not indicate that there are any positions open and does not in any way obligate this dealership. This application is current for ninety (90) days. At the conclusion of this time, if I have not been employed by this dealership and still wish to be considered for employment, it will be neccessary for me to fill out a new Application. Further, I understand and agree that if I am hired by this dealership, unless specifically set forth in writing to the contrary and signed by the dealer and myself, my employment will be for no definite period, and may, regardless of the date of payment of my wages or salary, be terminated at any time for any reason or no reason at the will of the dealership without any previous notice. In consideration of the dealership's review of my application, I agree that any claim or lawsuit arising out of my employment with the dealership, or my application for employment with the dealership, must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. While I understand that the statute of limitations for claims arising out of an employment action may be longer than six (6) months, I agree to be bound by the six (6) month period of limitations set forth herein, and I WAIVE ANY STATUTE OF LIMITATIONS TO THE CONTRARY, unless state, federal or local law prohibits a waiver of said statute of limitations.

Signature
Date

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