THIS PAGE IS FOR FUTURE USE, PLEASE CONTACT US FOR AN APPLICATION OR SEND RESUME TO

ALL STATE FORD

1357 GARDINER LANE

LOUISVILLE KY 40213

Application for Employment

All applicants will be considered for employment without regard to race, religion, color, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other status protected by law.  We are an Equal Opportunity Employer.

Date: 

Soc. Sec. #:

First name: Middle initial: Last name:
 

Address: City: State: Zip:

 

Telephone No.:       Referred by:  Employee:       Friend or Relative:    Online (website):

                                                    Name of Employee:

Are you of legal age to work?  Yes     No    If No, a work permit will be required.

Are you legally eligible for employment in the United States?  Yes     No    (If hired, verification will be required by law)

Position (s) applied for: Full Time     Part Time

If Part Time, check days/hours available:  Mon. a.m./p.m. to a.m./p.m.; Tues. a.m./p.m. to a.m./p.m.;

Wed. a.m./p.m. to a.m./p.m.; Thurs. a.m./p.m. to a.m./p.m.; Fri. a.m./p.m. to a.m./p.m.;

Sat. a.m./p.m. to a.m./p.m.; Sun. a.m./p.m. to a.m./p.m.

Date you are available to start work:          Salary or wages desired:   $   Hr.    Wk.

Have you worked for us before?    If Yes, When:       Position:   

Indicate special qualifications or skills:

 

 

EDUCATION  Name & Location of School

Course of Study

Years Completed

Did you graduate?
High School

College

 Major

Degree
Other

Are you employed at the present time?  Yes    No                                         If hired, will you work overtime if required?  Yes    No

Have you ever been bonded in prior employment?     If Yes, list name (s) of employer (s): 

Have you ever been convicted of a crime (excluding misdemeanors and traffic offenses)?     If Yes, list convictions:  A conviction does not necessarily disqualify an applicant for the position being applied for).

(Start with most recent employer)

PRIOR EMPLOYMENT

Employer:

 Phone:  (     )

 From:

 To:
Address:

 City, State, Zip

 Position:
Duties:

  

 

 Supervisor's Name:
Reason for Leaving:

 Starting Salary/Wages:

 Final Salary/Wages:
Employer:

 Phone:  (     )

 From:

 To:
Address:

 City, State, Zip

 Position:
Duties:

  

 

 Supervisor's Name:
Reason for Leaving:

 Starting Salary/Wages:

 Final Salary/Wages:
Employer:

 Phone:  (     )

 From:

 To:
Address:

 City, State, Zip

 Position:
Duties:

  

 

 Supervisor's Name:
Reason for Leaving:

 Starting Salary/Wages:

 Final Salary/Wages:

MILITARY SERVICE

BRANCH OF SERVICE

FROM

TO

RANK % DUTIES:

DATE DISCHARGED:

PERSONAL REFERENCES

NAME ADDRESS

YEARS KNOWN

 TELEPHONE

The above information is true and complete to the best of my knowledge.  Should I be employed by the Company, any misrepresentation or false statement contained herein may be considered cause for possible dismissal.  The Company has my permission to obtain all necessary information from the references I have listed, or any other sources, concerning my prior employment, personal history or credit standing and I release all parties from any possible damages resulting from disclosing such information with or without notice to me.  I reserve the right to know the names and addresses of any investigative agencies used in order that I may learn the information contained in any reports furnished to the Company.

I understand this application does not constitute an employment contract of any kind.  Should I be employed by the Company, I may resign such employment at any time at my discretion with or without prior notice and the Agency may terminate my employment at any time at their discretion, with or without cause and with or without prior notice.

Date:               I understand that submitting this application online I am effectively placing a signature on an application for employment with no signature required.

Copyright © 2007 All State Ford. All rights reserved.
Revised: 08/18/08

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