trent_jackson

Section

Job Title

Department

Store

Select Manager

Section

Manager Email

Store Email

Alert Email

GSM

GSM Email

GM

GM Email

Manager code

GSM code

GM Code

Full/part time

Full Time

Part Time

Name

First

Middle

Last

Email

Phone

Current Address

City

State/Province

Zip/Postal

Current Address

Years Current Address

Months Current Address

Previous Address

City

State/Province

Zip/Postal

Previous Address

Years Previous Address

Months Previous Address

Have you ever used another name?

Is any additional information relative to change of name, use of an assumed name, nickname necessary to enable a check on your work and educational records?

Yes

No

Please Explain

RECORD OF PREVIOUS EMPLOYMENT
Please list the names of your present or previous employers in chronological order with the present or last employer listed first. Be sure to
account for all periods of time including military service and any period of unemployment. If self-employed, give firm name and supply business
references. (Add additional pages if necessary.)

Have you ever worked for this company before?

Yes

No

Please give some details like dates, position and reason for leaving.

Are you currently employed?

Yes

No

Can we contact your current employer?

Yes

No

In the last 7 year approximately how many different jobs have you worked at?

Have You ever been terminated or asked to resign from any job?

Yes

No

Please explain fully any gaps in your employment history.

Employer 1

Present or Last Employer

Address

City

State/Province

Zip/Postal

Address

Phone

Employed

From (mo/yr)

To (mo/yr)

Starting Pay

Final Pay

Your Title or Position

Name and Title of Last Supervisor

Exact Reason for Leaving

Employer 2

Previous Employer

Address

City

State/Province

Zip/Postal

Address

Phone

Employed

From (mo/yr)

To (mo/yr)

Starting Pay

Final Pay

Your Title or Position

Name and Title of Last Supervisor

Exact Reason for Leaving

Employer 3

Previous Employer

Address

City

State/Province

Zip/Postal

Address

Phone

Employed

From (mo/yr)

To (mo/yr)

Starting Pay

Final Pay

Your Title or Position

Name and Title of Last Supervisor

Exact Reason for Leaving

Employer 4

Previous Employer

Address

City

State/Province

Zip/Postal

Address

Phone

Employed

From (mo/yr)

To (mo/yr)

Starting Pay

Final Pay

Your Title or Position

Name and Title of Last Supervisor

Exact Reason for Leaving

Employer 5

Previous Employer

Address

City

State/Province

Zip/Postal

Address

Phone

Employed

From (mo/yr)

To (mo/yr)

Starting Pay

Final Pay

Your Title or Position

Name and Title of Last Supervisor

Exact Reason for Leaving

Employer 6

Previous Employer

Address

City

State/Province

Zip/Postal

Address

Phone

Employed

From (mo/yr)

To (mo/yr)

Starting Pay

Final Pay

Your Title or Position

Name and Title of Last Supervisor

Exact Reason for Leaving

Paragraph

Have you ever been convicted of any misdemeanor or felony in the last seven years?

Yes

No

NOTE: Answering “Yes” to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness, and nature of the violation, and rehabilitation will be considered. (Do not include minor traffic citations and arrests or convictions, which have been sealed or expunged.)

If yes, please gives the date(s) and details:

If hired, can you provide proof that you are over 18 years of age?

Yes

No

Are you capable of satisfactorily performing the essential job duties required for the position for which you are applying?

Yes

No

Do you have adequate transportation to and from work?

Yes

No

Date of Birth

DL's#

Have you ever been denied a driver's license or had one suspended or revoked?

Yes

No

Have you had any moving violations, traffic violations in the past 3 years?

Yes

No

Have you had any auto accidents in the past 3 years?

Yes

No

If the answer to any question was YES, give dates and details.

Signature

Clear

I hereby grant permission for Navarre Auto Group to secure my Motor Vehicle Report (MVR) to determine my "driving" insurability under the policy of the named Dealership, (hereinafter "Company"). I also affirm that the statements made above are stated truthfully and without reservation. I understand that my MVR is likely to contain my driving record, including record of arrests for driving offenses. I understand that the contents of my MVR may be used to underwrite the Company's commercial insurance.

Signature

Clear

NAVARRE AUTO GROUP WILL OBTAIN A CONSUMER REPORT EXPLANATION & DISCLOSURE OF INTENT NAVARRE AUTO GROUP utilizes a Consumer Reporting Agency (CRA) to conduct public records searches for information such as criminal history. Such information is considered a Consumer Report under the Fair Credit Reporting Act. The Cole Group, the CRA, will assist you in procurement of this job opportunity by providing to NAVARRE AUTO GROUP verification of your background. To accomplish this, you need to authorize and request that The Cole Group release all information in its files and to contact any or all of the following information sources: courts, law enforcements agencies, correctional facilities, jails, Motor Vehicle Records (permitted by 18 US Code 2721 (b)(6)(9)(13)(14)), and all other government public record repositories. AUTHORIZATION, CONSENT & REQUEST By signing this agreement, you are consenting to the following: I CONSENT to and REQUEST that The Cole Group create a Consumer Report and make inquiries necessary to verify the information I have provided on my resume, application, and during interviews by and for NAVARRE AUTO GROUP. I understand and agree that The Cole Group and NAVARRE AUTO GROUP have a PERMISSABLE PURPOSE and may now, or at any time in the future if I obtain this job, make inquiries concerning my criminal history and other public records information will be utilized to evaluate me for possible current or future employment, promotions or reassignment. I understand such information will not be utilized to violate state or federal equal opportunity law.

Signature

Clear

NOTICE & RIGHTS
NOTICE: You may write to The Cole Group at 2525 North Loop W. Ste. 150 Houston, TX 77008 and request the nature and substance of any information obtained from these sources. Please include a stamped and self addressed envelope to insure proper and accurate return of information.

PERSONAL REFERENCES

Please list people who know you well- not previous employers or relatives.

Name

Occupation

Address

City

State/Province

Zip/Postal

Address

Phone

Number of Years Known

Section

Section

Employer 1

Employer 2

Employer 3

Employer 4

Employer 5

Employer 6

High School

College/University

Graduate/Professional

Trade or Correspondence

Other

PERSONAL REFERENCES