Untitled Document

Application for Employment

ADVANCED AUTO
Ph (925) 455-9338
Fax (925) 455-6352
info@advancedautoclub.com
www.advancedautoclub.com

Last Name:______________________________ First Name:___________________ Age:____

Street Address:_____________________________________________________________

City:___________________________________ State:_____ Zip:__________

Daytime Ph#__________________ Evening Ph#_________________ Best time to call:______

Position Applied For:___________________________________________________________

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Please answer the following questions completely. Failure to answer all questions may result in your not being hired.
Any answers later determined to be false will be cause for immediate termination of employment.

If you are under 18 years of age, can you provide proof of your eligibility to work? Yes:___ No:___

Have you ever filed an application with us before? Yes:___ No:___
If yes, when?__________________________________________________________

Have you ever been employed by us before? Yes:___ No:___
If yes, when?___________________________________________________________

Do you have friends or relatives that work here? Yes:___ No:___
If so, state name & relationship to you:___________________________________________

Are you currently employed? Yes:___ No:___
If yes, why are you leaving?___________________________________________________

Are you currently in "Lay-Off" status and subject to recall? Yes:___ No:___

May we contact your current employer? Yes:___ No:___

Are you a citizen of the United States? Yes:___ No:___

If not a citizen, are you authorized to work in the United States?     Yes:___ No:___
     If yes, Document type:______________________________Document#_____________
     Your Country of Origin/Birth:_______________________________________________

Do you speak English?     Yes:___ No:___

Read English?     Yes:___ No:___

Write English?     Yes:___ No:___

Have you ever served in the United State Armed Forces? Yes:___ No:___
Which branch?__________________ # of years served:______ (bring DD 214 to interview).

Can you travel if the job requires it? Yes:___ No:___

Do you have a Driver's License? Yes:___ No:___

Do you have reliable transportation to and from work? Yes:___ No:___

Are you currently in "Lay-Off" status and subject to recall? Yes:___ No:___

Have you ever been convicted of a crime? Yes:___ No:___
If so, please explain the nature of the offense:____________________________________
________________________________________________________________________
________________________________________________________________________

Are you available to work full-time? Yes:___ No:___
If not, what hours can you work?____________________________________________
_______________________________________________________________________

Note: All new hires at ADVANCED AUTO, are subject to a 90 day (three month) probationary employment period.
During that time, your work performance and overall behavior will be evaluated. If, at the end of the probationary period,
the management of ADVANCED AUTO decides that you do not have the necessary job or personal skills to justify continued employment,
your employment will be terminated. There are no exceptions to this rule.

I, ________________________________ (applicant signature) Agree to the terms concerning the Probationary Employment Period. Date:________________

Education

Include High School, GED, College & Trade Schools.

School name & address:__________________________________________________________
Type of school:_________________________________________________________________
Course of study:________________________________________________________________
Dates attended:_________________________________________________________________
Did you graduate?_______________________________________________________________

Work Experience
Begin with your most recent work experience and work your way back.

Employer:_____________________________________________________________________
Address:______________________________________________________________________
Phone:______________________________ May we contact them? _______
Dates of employment:___________________________________________________________
Reason for leaving:_____________________________________________________________
Position / Duties:_______________________________________________________________
Starting salary:_______________ Ending salary:_______________

Employer:_____________________________________________________________________
Address:______________________________________________________________________
Phone:______________________________ May we contact them? _______
Dates of employment:___________________________________________________________
Reason for leaving:_____________________________________________________________
Position / Duties:_______________________________________________________________
Starting salary:_______________ Ending salary:_______________

Special Skills & Experience
Check all that apply.

Windworks____, alldata____, worldpac dial____

Office

Parts counter work:___ Shipping / Receiving:___ Typing / Word Processing:___ Computer / IBM-PC:___ Computer / Mac-PC:___ Accounting / Bookkeeping:___

Mechanics
mechanics estimate value of tools $________ and list any special tools.

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Describe any other special skills, training, or hobbies you believe qualify you for the job you are applying for:

References
Provide at least three references. Do not include family members.

Name:_____________________________________________________________________
Phone:_____________________________________________________________________
#of years they have known you:_________________________________________________
Occupation:_________________________________________________________________

Applicant's Statement
I Certify that all the answers given in this application are true and complete. I authorize the investigation of all statements
contained in this application prior to employment. I also understand that, unless otherwise defined by applicable law,
any employment with ADVANCED AUTO is of an "at will" nature, which means that the Employee may resign
at any time and the employer may discharge the employee at any time, with or without cause. I also understand
that any drug and alcohol use, which impairs my performance at work, will be grounds for immediate termination.
If asked, I will submit to a drug test as part of this application process or at any time during my later employment;
refusal to do so will be grounds for rejection of this application or termination if hired. I further understand that any
false or misleading information given in this application or during the interview can result in later termination of employment.

Applicant's Signature:___________________________________________

Date:_______________________________