Rocky Ridge Auto Sales - Employment Application

Personal Information

Last Name *	First Name *	SSN *
Present Address *	City *	State *	Zip *
Permanent Address Check if permanent address is same as present.
Address	City	State	Zip
Phone *		referRed by

Employment Desired

Position Applied For *SalesService TechnicianRecon Technician

Date You Can Start *	Desired Salary	Every
Are You Currently Employed? *YesNo	May We Contact Your Employer? *YesNo	Are you Legally authorized to work in this country? *YesNo
Have You Ever Applied To This Company Before? *YesNo	If Yes When?

Education History

	Name And Location Of School	Years Attended	Did You Graduate?	Subjects Studied
High School		TO	YesNo
college		To	YesNo
Trade, Business or Correspondence School		To	YesNo

General Information

special studies
special training
special skills

Former Employers

Begin with your most Current employer

from to	CompanY name address city state zip	salary	position Held	reason For Leaving
from to	Company name address city state zip	salary	position Held	reason For Leaving
from to	Company name address city state zip	salary	position Held	reason For Leaving

References

Give below the names of three persons, not related to you, whom you have known at least one year.

Name	Address	Business	Years known
Name	Address	Business	Years known
Name	Address	Business	Years Known

Authorization

"I certify that the facts contained in this application are true an complete to the best of my knowledge and understand that, if employed, falsified statements in this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment, and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representatiove of the company has any authority to enter into any agreement foremployment for any specified period of time, or to make any agreement contrary to the foregoing, unless, it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

initials *
By entering my initials, I understand and agree to this terms. * Yes