Employment Application - Roberts Automotive

Your Personal Information

Your Name*

First M.I. Last

Date*

Your Home Address*

Street Address Unit / Suite Number City State Zip Code

Your Email Address*

Enter Email Confirm Email

Day Phone*

Evening Phone

Cell Phone

If you are under 18, can you furnish a work permit if it is required?*

Yes
No

Are you able to meet the attendance requirements?*

Yes
No

Can you submit proof that you are legally eligible to work in the USA?*

Yes
No

Have you ever been convicted of a felony*

Yes
No

If Yes, Explain:*

(conviction of a felony does not necessarily prohibit you from employment)

How did you learn of this opening?

Have you ever been previously employed @ Roberts Automotive?*

Yes
No

If Yes, Explain:*

Are there any hours, shifts or days that you cannot or will not work?*

Employment preference*

Part time
Full time

Education

High School or GED

Name and location of School	Year Graduated	Major	Diploma/Degree/Certificate	# Years Completed

College/University/Vocational School

Name and location of School	Year Graduated	Major	Diploma/Degree/Certificate	# Years Completed

Courses/Seminars/Special Training

Name and location of School	Year Graduated	Major	Diploma/Degree/Certificate	# Years Completed

Position Information

Position(s) applied for:*

Click the (+) to add additional positions.

Wage or salary desired*

When can you start?*

In addition to your work history, what other experiences, skills or qualifications would especially fit you for work with our company?

Work History

Please list your most recent employer(s) first

May we contact your present employer?*

Yes
No

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Can Call?*

Yes
No

Date Started

Starting Salary

Starting Position

Date Aborted

Salary Leaving

Position on Leaving

Name and Title of Supervisor

Description of Duties

Reason for Leaving

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Can Call?*

Yes
No

Date Started

Starting Salary

Starting Position

Date Aborted

Salary Leaving

Position on Leaving

Name and Title of Supervisor

Description of Duties

Reason for Leaving

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Can Call?*

Yes
No

Date Started

Starting Salary

Starting Position

Date Aborted

Salary Leaving

Position on Leaving

Name and Title of Supervisor

Description of Duties

Reason for Leaving

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Can Call?*

Yes
No

Date Started

Starting Salary

Starting Position

Date Aborted

Salary Leaving

Position on Leaving

Name and Title of Supervisor

Description of Duties

Reason for Leaving

Upload Your Resume

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

upload your resume in .pdf, .doc or .docx format

Upload Your References

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

Please include the following information for each reference: Company &/or Contact Name, Relationship, Telephone, E-Mail, and Address.
(PLEASE DO NOT INCLUDE RELATIVES.)
upload your references in .pdf, .doc or .docx format

APPLICANT’S CERTIFICATION AND AGREEMENT

PLEASE READ CAREFULLY

In consideration of employment by Roberts Automotive I agree to abide by the rules and regulations of the company, which may be changed from time to time at the sole discretion of Roberts Automotive management. I declare each of the answers I have given in this employment application to be complete and true to the best of my knowledge. I under-stand that any false information or omissions may disqualify me from further consideration for employment and may result in my discharge from employment if discovered at a later date.

It is the policy of Roberts Automotive that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors. We do not discrimi-nate on the basis of race, color, religion, sex, national origin, age, veteran status, and the presence of a non-job related medical condition or disability. No question on this application is used for the purpose of excluding any applicant for employment. I agree to inform Roberts Automotive if I require reasonable accommodation for the application and/or interview process. I understand that as a condition of employment I must be authorized to work in the United States and demonstrate that authorization as required by the Immigration Reform and Control Act of 1986.

I authorize the investigation of all statements contained in this application and authorize any person, school, current employer (unless otherwise noted), past employers and other organizations named in this application to provide relevant information which may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand that some position may require Drug Tests, Criminal Background Checks, and other position related background checks.

I understand that this application or subsequent employment does not create an employment contract nor guarantee employment for any defined period of time. I also understand that this Employment Application is not valid unless completely filled out. Further, I understand that my employ-ment is “at will” and can be terminated by either Roberts Automotive or me at any time for any reason or for no reason. I have read, understand and by my acceptance agree to the above statements.

Acceptance*

I agree to the Applicants Certification and Agreement

Name

This field is for validation purposes and should be left unchanged.

Application for Employment

Your Personal Information

Education

Position Information

Work History

APPLICANT’S CERTIFICATION AND AGREEMENT