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Employment Application

Takes about 15 minutes. Please answer every question.

Personal Information

PLEASE READ BEFORE FILLING OUT THIS APPLICATION

This dealership (Company) does not discriminate in hiring or employment on the basis of any categories protected by State or Federal law. No question on this application is intended to secure information to be used for such discrimination. The application will be given every consideration, but its receipt does not imply that the applicant will be employed. Inclusion of information on this application other than requested in the application will result in you being disqualified from consideration for this position or any other position. This application is only valid for the specific position applied for. This Company only accepts applications for currently open positions. Once a position is filled, this Company does not retain any application for future consideration. Each open position applied for requires a new and separate application.

Please answer every question. Fields marked * are required.

First Name

Middle Name

Last Name

Address

Street Address

Address Line 2

City

State

ZIP Code

Cell Phone Number

Work Phone Number

Length of time at the above address:

Have you lived at this address less than one year?

Yes No

List previous address within the United States, except Military, if address changed during the past year.

Street Address

Address Line 2

City

State

ZIP Code

Position and Availability

Choose A Location

Position applying for

Are you eligible to work in the United States?

Yes No

Sorry, we are only accepting applications from citizens that are eligible to work in the United States.

Type of work desired

Date available for work:

Desired pay

Please note if this is your desired annual salary, or pay per hour.

Is this pay hourly or an annual salary?

Hourly Annual salary

Are you over 18 years of age?

Yes No

Resume (optional)

PDF or Word document, up to 10 MB.

Employment Record

Starting with PRESENT or MOST RECENT, list all previous employers. Include self-employment, summer and part-time jobs.

Employer 1

Company Name:

Address of Employer

Street Address

Address Line 2

City

State

ZIP Code

Dates Employed: From Mo. & Yr.

Dates Employed: To Mo. & Yr.

Salary: Starting

Salary: Leaving

Reason for Leaving

Position and Duties

Employer 2

Company Name:

Address of Employer

Street Address

Address Line 2

City

State

ZIP Code

Dates Employed: From Mo. & Yr.

Dates Employed: To Mo. & Yr.

Salary: Starting

Salary: Leaving

Reason for Leaving

Position and Duties

Employer 3

Company Name:

Address of Employer

Street Address

Address Line 2

City

State

ZIP Code

Dates Employed: From Mo. & Yr.

Dates Employed: To Mo. & Yr.

Salary: Starting

Salary: Leaving

Reason for Leaving

Position and Duties

Employer 4

Company Name:

Address of Employer

Street Address

Address Line 2

City

State

ZIP Code

Dates Employed: From Mo. & Yr.

Dates Employed: To Mo. & Yr.

Salary: Starting

Salary: Leaving

Reason for Leaving

Position and Duties

References

Job related, please do not list relative or personal friends.

Reference 1

Name

Occupation

Address

Street Address

Address Line 2

City

State

ZIP Code

Phone Number

Number of years this person has known you

Reference 2

Name

Occupation

Address

Street Address

Address Line 2

City

State

ZIP Code

Phone Number

Number of years this person has known you

Reference 3

Name

Occupation

Address

Street Address

Address Line 2

City

State

ZIP Code

Phone Number

Number of years this person has known you

Reference Authorization

REFERENCE AUTHORIZATION

There are three (3) signatures required on this application. Each one covers an important part of the job-related information, and of your future employment, if you are hired. They are separate in order to emphasize each issue. You are urged to carefully read each before signing. If you have any questions, please ask the person who is taking this application, or the Business Manager.

In processing this employment application, we may request that an investigative consumer report be prepared, which may include information as to your employment, finances, and general reputation. You have the right to request that we completely and accurately disclose to you the nature and scope of the investigation requested. Such a request must be made in writing to this dealership within a reasonable time after you complete this application. A separate information and authorization document will be provided if a consumer report is to be done.

I understand that references will be contacted, and that appropriate work-related references are not limited to those listed in my application.

I authorize this Company to contact and secure information about my educational background, work experience, credit rating, and to secure records of licensing, administrative, regulatory or any other governmental agency, and to contact any other information source relevant to employability. I hereby release this Company, its subsidiaries, officers and agents from liability for seeking such information, and all other persons, schools, corporations or organizations for furnishing such information.

I have read and agree

Signature (type your full name)

Date

Drug Testing and Certification

DRUG TESTING

I understand and agree that a Drug Screening Test is a condition of application for employment, and will be done prior to employment. I understand that positive testing results may be grounds for refusal to hire. I also understand and agree that the company reserves the right to require me to submit to a drug or alcohol screening test at any time after employment, and may also require me to submit to work-related medical examinations during the course of my employment.

I have read and agree

Signature (type your full name)

Date

CERTIFICATION OF TRUTHFULNESS & UNDERSTANDING OF EMPLOYMENT-AT-WILL

I certify that the facts contained in this application are true and I understand that any false or misleading statements, or omissions in this application may result in rejection of this application or, if hired, in discharge. I understand that this Company is an Employer-At-Will, which means that if I am hired, my employment is for no definite period, and I may be terminated at the will of myself or my employer, at any time, without notice, for any reason, or for no reason. No employee of the company is authorized to promise me anything contrary to what is stated in this paragraph, and I may not rely on any such representations. I also understand that all rules manuals, employee handbooks, or personnel policies are descriptive only. They do not form any sort of contract between myself and the employer, and they may be

I have read and agree

Signature (type your full name)

Date

Submitting sends your application securely to the Wheelers Family Auto Group hiring team.

Employment Application

Personal Information

PLEASE READ BEFORE FILLING OUT THIS APPLICATION

Position and Availability

General Information

Education

Employment Record

References

Reference Authorization

REFERENCE AUTHORIZATION

Drug Testing and Certification

DRUG TESTING

CERTIFICATION OF TRUTHFULNESS & UNDERSTANDING OF EMPLOYMENT-AT-WILL

Thank you.