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Coliseum Motors Pre-Employment
Application
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| EQUAL EMPLOYMENT OPPORTUNITY: It
is the policy of employer to prohibit unlawful discrimination
on the basis of any characteristic protected by applicable
local, state, or federal law. If you believe your equal employment
rights have been violated, you may contact the appropriate
state or federal EEO agency. |
| First Name* |
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Last Name* |
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| Current Address* |
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City*
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State* |
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| How long at current address |
Years
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Mo |
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| Previous Address |
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City
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State |
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| How long at previous address |
Years |
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Mo |
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| Phone |
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e-mail*
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| Positon you are applying for |
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| Are you age 18 or older
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Yes
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No
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Have you applied here before?
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Yes
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No
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| Are you presently employed |
Yes
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No
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Have you previously
been employed here?
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Yes
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No
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| Current Employer |
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May we inquire
of your employer?
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Yes
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No
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| Do you have any relatives working
here (will not necessarily diqualify employment) |
Yes
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No
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EDUCATION
AND SKILLS
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| Check the box that indicates highest level
of completed education. |
| High School Grad or GED |
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Some College |
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College Graduate |
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School |
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| Degree |
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| Major |
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| Trade or Business School |
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School |
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| Field of Study |
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| List certificates or licesnses you hold or
spedialized training you have completed that may help qulify
you for employment. |
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| List equipment you operate that may help qualify
you for employment. |
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| List job-related professional or technical
organizations to which you belogn. |
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GENERAL
INFORMATION
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| What do you expect to be doing in five years? |
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| Based on today's prices and wages, what monthly
income do you expect to be earning in five years? |
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| What has been your most interesting work? |
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| What made it interesting |
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| What work experience did you dislike most? |
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| Why did you dislike it? |
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| Have you been convicted of a felony (excluding
any record or conviction that has been judicially sealed,
expunged, eradicated or dismissed)? |
Yes
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No
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| Can you, if employed, submit verification
of your right to work in the United States? |
Yes
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No
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EMPLOYMENT
HISTORY AND PERSONAL REFERENCES
List ALL periods
of employment, self employment, US military servie, volunteer
work, and/or non-employment starting with the MOST RECENT
FIRST. Personal references may be listed following employment
history-please do not list relatives.
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| From: |
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Employer |
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Position/Duties |
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Address |
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Phone |
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Starting Pay |
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Supervisor's Name |
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Last Pay |
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Reason for leaving |
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| From: |
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Employer |
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Position/Duties |
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| To: |
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Address |
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Phone |
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Starting Pay |
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Supervisor's Name |
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Last Pay |
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Reason for leaving |
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| From: |
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Employer |
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Position/Duties |
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| To: |
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Address |
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Phone |
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Starting Pay |
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Supervisor's Name |
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Last Pay |
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Reason for leaving |
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| From: |
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Employer |
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Position/Duties |
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| To: |
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Address |
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Phone |
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Starting Pay |
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Supervisor's Name |
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Last Pay |
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Reason for leaving |
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CERTIFICATION
AND ACKNOWLEDGEMENT
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I certify that all information submitted
in theis application form, or in any resume, interview,
or other information, is true and complete and that I have
not knowingly withheld, nor will I withhold, any information
that would affect my application for employment. I understand
that employer is under no obligation to consider or reconsider
this application at any time, and that acceptance of my
application does not constitute an offer of employment.
I also understand and agree that:
- Inquiries may be made with my previous employers
or others who may have knowledge of me, or with consumer
credit, investigativew, or other private or governmental
agencies. I authorize any such person or agency to
give you any and all information concerning my previous
employment, including but not limited to an assessment
of my job performance, ability, and fitness, and/or
any other information they may have, personal or otherwise,
and release all parties from any and all liability,
claims, or damages that may directly or indirectly
result from furnishing same. Upon my reasonable and
timely request, a description of the general scope
and nature of any such inquiry will be provided to
me.
- Prior to my beginning, work or during my employment,
employer reserves the right to require any lawful form
of medical, drug, alcohol, psychological, character,
honesty, integrity, aptitude, skill, or other test
or examination.
If employed, I understand
and agree that my employment is "at-will" and
may be terminated with or without cauyse or notice
at my option or at the option of employer.
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| Submitting this form is the equivalent of a signature. |
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