Joe Myers Mazda is an equal opportunity employer and does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origin, age, physical or mental disability, or any other characteristic protected by law.

Joe Myers Mazda
Application for Employment
(Please Complete All Information)  

Date of Application:

Position(s) Applied for:

Name:

Last
 

First
 

Middle
 

  

Present Address:

Street

City

State

Zip Code

How long have you lived at your present address?

Home Phone: Cell Phone:

Applicant's Email Address:

 

If a driver's license is required for the position for which you are applying, do you have a valid driver's license?

Yes No       State: License No: Expiration Date:

Do you have adequate transportation to and from work? Yes No

Have you been convicted of, or pleaded no contest to, a traffic violation of any kind within the last FIVE years? Yes No

If yes, please give date and details:

Have you ever used another name? Yes No

Is any additional information relative to change of name, use of an assumed name, or nickname necessary to enable a check on your work and education record? If yes, please explain:

Are you over 18 years of age? Yes No
If hired, can you furnish proof that you are over 18 years of age? Yes No
Have you ever filed an application here before? Yes No
Have you ever been employed here before? Yes No
Are you employed now? Yes No
If yes, may we contact your present employer? Yes No
If no, are you on layoff and subject to recall? Yes No
If hired, can you present evidence of your identity and eligibility to work in the United States? Yes No

If yes, are there any restrictions on your eligibility to work in the United States? Yes No

On what date are you available for work?

Are you available to work: Full-Time Shift Work Part-Time Temporary

Are you available to work whatever schedule is necessary to meet the needs of our customers? Yes No

If no, list days you would be available to work:

Can you perform the essential functions of the position you desire with or without reasonable accommodation? Yes No
         

Educational Background
  Elementary High College/Univ. Graduate/Prof.
School Name
Year Completed 4 5 6 7 8 910 11 12 1 2 3 4 1 2 3 4
Diploma/Degree
Course of Study

Describe specialized training, apprenticeship, skills, and extra-curricular activities:
 

Employment Experience
1 Name of Employer
 Telephone Number
Address (Number, Street, State, Zipcode)
 Employed (month/year)
From To
Type of Business
 Salary / Wages
Start Last
Job Title and Nature of Work
 Name of Supervisor
Reason for Leaving
2 Name of Employer
 Telephone Number
Address (Number, Street, State, Zipcode)
 Employed (month/year)
From To
Type of Business
 Salary / Wages
Start Last
Job Title and Nature of Work
 Name of Supervisor
Reason for Leaving
3 Name of Employer
 Telephone Number
Address (Number, Street, State, Zipcode)
 Employed (month/year)
From To
Type of Business
 Salary / Wages
Start Last
Job Title and Nature of Work
 Name of Supervisor
Reason for Leaving
4 Name of Employer
 Telephone Number
Address (Number, Street, State, Zipcode)
 Employed (month/year)
From To
Type of Business
 Salary / Wages
Start Last
Job Title and Nature of Work
 Name of Supervisor
Reason for Leaving
 

Unemployment

List below any gaps in employment of one month or more, other than school and military service.
From (month/year) To (month/year) Reason
 

Special Skills and Qualifications

Summarize any special training, skills, computer systems and programs, and qualifications acquired from employment or other experience:

 

Personal References

List three references who are not related to you and are not previous employers:
  Name and Occupation Address Phone Number
1
2
3
 

Additional Information

Please indicate any actual work experience you have in any of the following positions:
OFFICE SALES/LEASING SERVICE and REPAIR PARTS
Office Manager
 Bookkeeper
 Accounts Receivable
 Accounts Payable
 Payroll Clerk
 Benefits Clerk
 Tag/Title Clerk
 Warranty Clerk
 Data Entry
 Cashier
 Biller		 Sales Manager
 Salesperson (New Car)
 Salesperson (Used Car)
 Salesperson (Truck)
 F & I Manager
 Leasing Manager
 Fleet Manager
 Truck Manager
 Used Car Manager
 New Car Manager		 Service Manager
 Service Writer/Advisor
 Dispatcher
 Shop Foreman
 Mechanic/Technician
 Electrician
 Helper
 Painter
 Body Repair
 Detailer
 Lot Attendant		 Parts Manager
 Parts Counter
 Parts Stocker
 Parts Driver

State any additional information you feel may be helpful to us in considering your application:

 

Signature - Read and Initial Each Paragraph Before Signing

Initial		 I certify that all of my statements and information I have given in this application are true, complete, and correct. I also understand that any misrepresentation, falsification, omission, or misleading statement in this application (and accompanying resume, if any) is grounds for rejection of my application, or for my immediate discharge if I am employed, regardless of the time elapsed before discovery of the statement.
 

Initial		 I agree to immediately notify Joe Myers Mazda if I am convicted of any crime involving dishonesty or breach of trust, or a crime of morale turpitude, or if I am convicted of a felony, plead guilty or no contest to a felony, sentenced to felony probation or receive deferred prosecution or adjudication or a similar disposition for a felony offense for any of the crimes listed above while my application is pending or during my period of employment, if hired.
 

Initial		 In order to assist Joe Myers Mazda in conducting a background check, I authorize the Dealership to investigate my employment history, educational background, criminal history, personal references, credit record, and driving record. I further authorize any present or former employer, educational institution, personal reference, public agency, or other person or entities contacted by the Dealership to disclose to the Dealership upon request any information they may have about me. I release any such persons or entities from any and all liabilities for disclosing such information to the Dealership.
 

Initial		 I understand that nothing contained in this application is intended to create an employment contract between Joe Myers Mazda and me. In addition, I understand and agree that if I am employed, my employment will be "at will," terminable by me or the Dealership for any reason, at any time, with or without notice. No promises or representations contrary to the foregoing are binding on the Dealership unless made in writing and signed by me and the President of the Dealership.
 

Initial		 Joe Myers Mazda has adopted an arbitration policy to resolve disputes that may arise between the Dealership and its applicants for employment and employees in a timely and cost-effective manner. By applying for employment, I agree to submit any disputes related to my application for employment, or if hired, any disputes related to my employment or the termination of my employment with the Dealership to a private, impartial arbitrator for a final and binding decision in accordance with the procedures set forth in the Dealership's Mutual Agreement to Arbitrate Claims ("Agreement"). I understand that a copy of the Agreement is available for my review from the General Manager and that, if hired, I will be required to sign the Agreement as a condition of my employment with the Dealership.
 

Initial		 Joe Myers Mazda is a drug-free workplace. All offers of employment made to job applicants, including those considered for rehire, are contingent upon the applicant's successful completion of a drug test. Applicants with positive test results for prohibited drug use will be informed of their test results and will be ineligible for employment.
 

Initial		 This application will be kept on file for 30 days. If I have not heard from Joe Myers Mazda and still wish to be considered for employment after that time has passed, I must complete a new application.
 
 
Applicant's Signature: (Enter Complete Name) 
Date: