Welcome to Rowan Pontiac GMC

Application for Employment

First Name:

Last Name:

Telephone:

Email Address:

Home Address:

City Zip

Last 4 Social Security Numbers:

Position Desired:

Full Time Part Time

Wages Desired:

Date you can start work:

Ever applied to this Company before?

Yes No

What Department?

When?

Are you a citizen of the US?	Yes No
Do you have a valid operator's permit?	Yes No
Have you ever been convicted of a crime?	Yes No
Have you ever been discharged or required to resign from a position?	Yes No
Are you on a lay-off and subject to recall?	Yes No

Show actual experience by checking the following:
Service Mgr	Bodyman	Lubrication	Porter	Office Clerk	Used Car Sales
Parts Manager	Painter	New Car Prep.	Maintenance	Phone Operator	New Car Sales
Sales Manager	Mechanic	Washer/Polish	Cashier	Computer Operator	Truck Sales
Office Manager	Helper	Parts Counter	Biller	Warranty Clerk	Finance/Ins.
Body Shop Mgr	Tower Op.	Parts Clerk	Acc. Pay/Rec	Bookkeeper	Watchman
Shop Foreman	Service Advisor	Parts Driver	Sec./Typist	Messenger	Other

If applicable, check in which areas of repair you are certified by the Michigan Department of State:
Engine tune up	Front end & steering systems	Manual transmission and/or axles
Engine repair	Automatic transmission	Heating & air conditioning
Brakes, braking systems	Electrical systems	Collision - repair

High School or Prep School (Name and Location)	Major/Subject	# of Years	Degree

University of College

Graduate School

Other - Including Military Service, Trade or Business Schools

Experience - Business or Professional record of last four positions
(List places in order starting with present employer first)

Employment Dates
From Month/Year	To Month/Year

Name and Address
of Employer

Position or Title

Supervisor's Name

Salary Received

Reason for Seperation

By submiting this application, I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.